Female, 78 years old, with history of breast cancer and multiple acute intracranial hemorrhage foci. Evaluate for metastases, tumors, vascular lesions or stroke. Multiple foci of susceptibility artifact are seen correlating to areas of suspected parenchymal hemorrhage on CT including within the left paramedian frontal lobe, the right lateral frontal lobe and the left lateral temporal lobe. These lesions demonstrate mild surrounding T2 hyperintensity but no definite pathologic enhancement.No restricted diffusion is seen. No generalized edema or mass effect is detected. There is no pathologic intracranial enhancement. Mild scattered periventricular T2 hyperintensities have progressed slightly from the prior examination. Ventricular size and morphology are within normal limits. Mild scalp swelling is seen at the left zygoma.
1.Evidence of scattered small parenchymal hemorrhages is seen correlating with findings on prior CT.2.No definite underlying tumor or vascular lesion is seen. No acute ischemic stroke is detected.3.Findings compatible with mild chronic microvascular ischemia.