22 years, Female, etiology of left frontal intraparenchymal hemorrhage. Again seen is intraparenchymal hemorrhage in the left frontal lobe similar to CT head dated 5/10/2016 allowing forslight differences in technique. There is minimal adjacent subarachnoid hemorrhage and minimal leptomeningeal enhancement which is likely reactive. No suspicious enhancement to suggest underlying lesion. No abnormal flow-voids in this region. There is relatively mild surrounding vasogenic edema. There is local mass effect and minimal rightward subfalcine herniation. No uncal herniation. Ventricles remain normal in size. There is mild cerebellar tonsillar ectopia.MR venogram demonstrates patency of the major dural venous sinuses without evidence of thrombosis. No appreciable evidence of cortical vein thrombosis.
Left frontal intraparenchymal hematoma with minimal adjacent subarachnoid hemorrhage and minimal adjacent leptomeningeal enhancement which is likely reactive. No suspicious underlying lesion or vascular malformation is appreciated. Major venous sinuses are patent.