Please do a portable CT patient is intubated and ventilated. Patient with intracranial hemorrhage or 63 years old. The CSF spaces are appropriate for the patient's stated age. There is redemonstration of a large left basal ganglia hematoma currently measuring 38 x 43 millimeters which measures similar to the prior exam. It is associated with a satellite foci of hemorrhage in the left inferior frontal gyrus measuring about 10 mm x 9 mm also unchanged since prior exam . It is also Associated with a small amount of intraventricular blood in the lateral ventricles. There is mass effect present with shift of the septum pellucidum approximately 2 mm to the right of midline and the shift of the third ventricle approximately a 3 mm the right of midline. The suprasellar cistern appears intact. Since the previous exam the amount of the vasogenic edema associated with this and a focus of hemorrhage appears to be stable.There is a hyperdense focus present in the left temporal lobe anterior pole measuring 10 mm in diameter on the previous exam which is not visible on the current exam. there a hyperdense focus present in the the right precentral gyrus measures approximately 8 mm in diameter and previously measured 5 mm in diameter. A couple are present along the pars marginalis bilaterally each measuring about 4 or 5 mm and several are present along the left superior frontal gyrus which are all adjacent to each other. Overall these have been identified on the gradient echo MRI. It can also be identified on prior CT scan .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.Since the previous exam of there has not been a significant change. There is redemonstration of multiple hemorrhagic foci in both hemispheres. The left basal ganglia lesion is the largest as indicated above. A right precentral gyrus lesion appears slightly larger. A left anterior temporal pole lesion is not identified on the current exam probably due to use of portable CT technique.