Other nontraumatic intracerebral hemorrhage [I61.8], Reason for Study: ^Reason: evaluate 2/2 cause of bleed History: hemorrhage There are 2 burr holes, one on the right frontal and another on the right temporal occipital area.Large right frontal intracerebral hematoma (45.3 mm x 55 and 5 mm x 63.6 mm) with surrounding edema, internal fluid fluid level and mass effect is seen. Midline shift towards left side is also seen, about 4 mm, at the level of foramen of Monro.Susceptibility lesions on surrounding sulci indicating associated subarachnoid hemorrhages.There is no evidence of contrast enhancement on the hematoma.There is no evidence of abnormal enhancement except thin, non nodular meningeal enhancement around the right frontal temporal parietal area which could be related to prior surgery or related to current hematoma related meningeal irritation.Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Large right frontal ICH, surrounding SAH with mass effects and midline shift toward left side as described above.2. No evidence of abnormal enhancement except right hemispheric meningeal enhancement.