Reason: ich History: right side weakness Nonenhanced CT of the brain:Examination demonstrates no evidence of acute intracranial hemorrhage. Diffuse white matter low attenuation of right hemisphere and to a lesser degree of the left hemisphere is similar to what was noted on prior MRI examination and is believed to represent post therapy changes for patient's known tumor. The ventricular system remain within normal range of size and morphology and also with no interval change since prior MRI exam.There is no definite evidence of any cortical abnormality. Small areas of small vessel ischemic changes can be completely obscured by post therapy changes. If clinical concern for stroke persist an MRI is recommended.
Extensive intracranial findings consistent with post therapy changes of patient's known tumor which appears similar to prior MRI examination from 10 -- 19 -- 10. No evidence of hemorrhage, hydrocephalus or midline shift. If concern for stroke persist follow-up with an MRI is recommended.