77-year-old male with history of alcohol abuse,h hematemesisematemesis, biliary and,. Now drowsy. Nonenhanced head CT:Examination of assay focal area of low attenuation involving the cortex and subcortical white matter of right frontal lobe with subtle focal mass effect. Finding is most suggestive of a subacute minimally hemorrhagic right MCA frontal lobe stroke. This exam is otherwise unremarkable. Recommend follow-up with an MRI examination to exclude the remote possibility of other conditions in particular malignancy.Calvarium is intact. Limited view through the orbits are unremarkable visualized paranasal sinuses and mastoid air cells are unremarkable.The findings were discussed with the clinical service on pager number 3649 at the time of interpretation of exam.
Focal area of low attenuation of the cortex and subcortical white matter of right frontal lobe suggestive of a subacute nonhemorrhagic melanotic hemorrhagic ischemic stroke. To entirely exclude remote possibility of malignancy recommend an MRI examination.