Clinical question: Intracranial hemorrhage. Signs and symptoms: Confusion, seizures. Nonenhanced head CT:Images through posterior fossa are unremarkable and stable since prior study. Previously noted acute hematoma in the right occipital lobe is again identified in the definitive interval change in its density or measurements. Mildly dilated supratentorial ventricular system likely result of parenchymal volume loss remain stable. Small amount of blood in the dependent portion of occipital horn of the lateral ventricle is noted. There is slight increase in the amount of blood in the left occipital horn likely result profunda precipitation of blood within the ventricle. Small amount of blood in the subarachnoid space also is noted and stable.Advanced periventricular and subcortical low attenuation of white matter is suspected for extensive small vessel ischemic stroke of indeterminate age. This findings were present on multiple prior CT and MRI exams and if no appreciable change.
Stable constellation of intracranial findings of right occipital lobe hematoma and its minimal surrounding vasogenic edema, mildly dilated supratentorial ventricular system and extensive small vessel disease.