question: Bleed? mass? Signs and symptoms: Acute onset of left-sided weakness. Non-infused CT of brain:Examination demonstrates well demarcated area of low attenuation of the cortex of right parietal lobe with effacement of adjacent cortical sulci highly suspected of an acute/subacute cortical stroke. There is no evidence of a hemorrhagic component. There is no evidence of mass effect on the lateral ventricle or midline shift. There is no definitive evidence of any abnormal density of the intracranial vasculature of arterial circulation or the venous sinuses. Further follow-up with dedicated MRI examination is recommended. This examination is otherwise unremarkable.Calvarium is intact.No abnormalities of the scalp is detected.Limited images of the orbits are unremarkable.Mastoid air cells and middle ear cavities are pneumatized. Limited view of paranasal sinuses demonstrate chronic sinus disease of bilateral maxillary sinuses (right greater than left).Above findings were text message to Dr. Lisa McQueen on pager number 4933 utilizing the paging tool option on a PACS system.
Acute nonhemorrhagic right MCA stroke in the parietal lobe with effacement of adjacent cortical sulci. No hemorrhage, mass effect on the right lateral ventricle or midline shift.