 There are postsurgical findings related to decompression of a right subdural hematoma with residual predominantly low T2 and intermediate to high T1 signal subdural collections along the right cerebral convexity measuring up to 8 mm in thickness and along the posterior left cerebral convexity measuring up to 2 mm ni thickness. There is approximately 4 mm leftward midline shift. There is a small area of high T2 signal with restricted diffusion in the inferior right frontal gyrus and a punctate focus of restricted diffusion in the right parietal lobe. There are small areas of encephalomalacia in the left basal ganglia and bilateral corona radiata and several scattered foci of cerebral white matter T2 hyperintensity without restricted diffusion. There are a few scattered foci of susceptibility effect in the bilateral cerebral hemispheres, which may represent chronic microhemorrhages. The ventricles are unchanged in size. The basal cisterns are patent. There is fluid in the bilateral mastoid air cells, which may be related to intubation.MRA HEAD
1. Postsurgical findings related to decompression of a right subdural hematoma with residual subdural collections along the right cerebral convexity measuring up to 8 mm in thickness and along the posterior cerebral convexity measuring up to 2 m min thickness. 2. Small recent infarcts in the inferior right frontal gyrus and right parietal lobe, with a background of chronic lacunar infarcts in the left basal ganglia and bilateral corona radiata and mild chronic small vessel ischemic disease.3. Significant steno-occlusive disease of the proximal right middle cerebral artery with slight reconstitution distally and the proximal portion of the intradural right vertebral artery is not discernible, which may be due to significant steno-occlusive disease as well, versus developmental severe hypoplasia.4. Post-treatment findings related to stent-coiling of a left anterior cerebral artery aneurysm and a right internal carotid artery aneurysm, without definite patency of the aneurysm sacs. Discussed with Dr. Castro at 12:30 PM on 7/10/16.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.