43 years Male (DOB:11/26/1972)Reason: left BG ICH History: left BG ICHPROVIDER/ATTENDING NAME: CHRISTOPHER L KRAMER CHRISTOPHER L KRAMER There is a hemorrhagic mass present involving the right thalamus and adjacent white matter which is associated with intraventricular blood. His blood products are dark on T2 and heterogeneous on T1 with mixed peripheral T1 signal and lower signal centrally. There is associated susceptibility effect with this. There is minimal enhancement around the hematoma. There is T2 and FLAIR signal hyperintensity surrounding the hematoma which is compatible with edema.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images..The right lateral ventricle is larger than the leftNormal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate opacities in the left and right maxillary sinus is compatible with mucous retention cysts.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is a hematoma centered in the right thalamus and extending into the adjacent white matter and associated with intraventricular blood. There is not appear to be an underlying mass associated with it. Its location suggests that it may be a hypertensive hemorrhage. No microhemorrhages are associated with this. If clinically appropriate when the hematoma recedes, an MRI evaluation may help exclude the possibility of an underlying abnormality obscured by the current blood products.