Clinical question: Hemorrhage, recent hemorrhage reports from outside hospital. Signs and symptoms: Follow-up hemorrhage A small focal area of increased density in the cingulate gyrus of right posterior parietal is suspicious for small area of hemorrhage or possible calcification (cavernoma). This finding measures approximately 6 mm times 6-mm and is visualized on axial image number 15. Subtle area of low attenuation in the subcortical white matter of the left frontal lobe is also noted. The area of low-attenuation may represent an area of ischemic change. There is a subtle linear increased density within this area of low-attenuation which may represent either minimal hemorrhage or volume averaging of the adjacent cortex. In high convexity right frontal lobe large area of encephalomalacia is noted which is believed to represent an area of old ischemic stroke. To exclude other possibilities an MRI examination is recommended.Cortical sulci, ventricular system and all CSF cisterns are within normal limits for patient's stated age.Slight prominence of the folia of the cerebellum and the vermis may represent minimal underlying parenchymal volume loss. Calvarium, paranasal sinuses and mastoid vessels are unremarkable.
1.Small area of increased density suspected for minimal hemorrhage and less likely calcification in this gyrus of the right parietal lobe as detailed above.2.Additional areas of suspected ischemic change of indeterminate age.3.Further evaluation for confirmation of the above findings and to exclude other possibilities an MRI is recommended.