 At the junction of the left occipital and temporal lobes is large area of hemosiderin stained encephalomalacia correlating with the patient's prior traumatic intraparenchymal hematoma. The tissues surrounding this lesion are mildly T2 hyperintense likely indicating gliosis. There is no evidence of acute intracranial hemorrhage, mass effect, midline shift or herniation. There are no intra- or extra-axial fluid collections. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There is no diffusion abnormality. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.
1.No evidence of acute intracranial hemorrhage or mass.2.Hemosiderin stained encephalomalacia and gliosis at the junction of the left temporal occipital lobes correlating with the site of prior traumatic intraparenchymal hematoma.