40 year old male with status epilepticus now with ST elevations on the monitor. Mental status changes. The previously seen right frontal hematoma has resolved. The surrounding encephalomalacia demonstrates some evolutionary change. Subtle left occipital low attenuation posteromedial to the left occipital horn indicates an area of previous hemorrhage better seen on prior MRI.There is very subtle loss of gray-white matter differentiation at the left parietal-occipital region which probably corresponds to the cortical signal abnormality reported on prior MRI.There is no evidence of new intracranial hemorrhage. Prominent ventricles; unchanged. There is no extra-axial fluid collection.The visualized osseous structures are unremarkable except for a Burr hole in the right frontal bone. Prominent cerebellar folia indicating volume loss.
1. Further resolution of the previously identified right frontal hematoma, with associated right frontal encephalomalacia. 2. Left posterior parietal encephalomalacia; unchanged from previous.3. No new hemorrhage is identified.4. Subtle loss of gray-white matter differentiation at the left parietal-occipital region probably corresponds to the cortical signal abnormality reported on prior MRI. Follow-up with MRI should be considered for better evaluation.