Nontraumatic intracranial hemorrhage, unspecified, evaluate for microbleeds. The exam is degraded by patient motion. Within this limitation, there is an unchanged hematoma in the right thalamus with intrinsic T1 signal and surrounding T2 hyperintensity, measuring up to approximately 20 mm. There is no evidence of acute infarct. There is unchanged extensive T2 hyperintensity involving the bilateral cerebral white matter, bilateral basal ganglia, thalami, and brainstem. The ventricles and basal cisterns are unchanged. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a right lens implant. The skull, paranasal sinuses, and scalp soft tissues are unchanged.
1. Unchanged small subacute right thalamic hematoma.2. No evidence of acute ischemic cerebral infarction.3. Extensive white matter abnormality may represent chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.