Clinical question: Is there evidence of occult bleed. Signs and symptoms: Headaches Nonenhanced CT of brain:Examination demonstrates a focal area of increased signal intensity in the right periventricular white matter of frontal lobe. This finding measures 6.2-mm x 8.9-mm on axial image 15. This finding was not reported on prior exam and likely represent a new finding. Differentials for this lesion includes a small area of hemorrhage or a hemorrhagic tumor. There is no evidence of any surrounding vasogenic edema but this finding. Follow-up with an MRI is recommended. This nonenhanced CT of brain is otherwise entirely within normal limits.
1.6.2 x 8.9-mm hemorrhage in the right periventricular white matter of frontal lobe with no surrounding edema as detailed above.2.Follow-up with an MRI is recommended.3.Negative nonenhanced CT brain otherwise.