Diagnosis: Nontraumatic intracerebral hemorrhage, unspecifiedClinical question: evaluate for hydrocephalus s/p IPH w/ intraventricular extensionSigns and Symptoms: headaches, 6m s/p basal ganglial hemorrhage w/ IVH The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is susceptibility effect present within an irregular shaped focus in the right basal ganglia and internal capsule .There are a couple punctate foci of susceptibility effect present at the right temporal lobe subcortical white matter and the left external capsule. No abnormal enhancing mass lesions are appreciated intracranially. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 2.Chronic stage hemorrhage in the right basal ganglia and adjacent internal capsule. (This was acute stage on a 4/24/15 CT of the head).3.No intracranial mass is identified.4.The ventricles are non-dilated.