ICH and vascular malformation excision (many years ago). MRI: There is extensive encephalomalacia involving much of the temporal lobe and a small portion of the adjacent occipital lobe with ex vacuo dilatation of the left lateral ventricle. There is a small amount of susceptibility effect in the left lateral temporal lobe. There is a small area of encephalomalacia in the left cerebellar hemisphere as well. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.MRA: There is no evidence of significant steno-occlusive lesions or aneurysm.
1. Extensive encephalomalacia involving much of the temporal lobe and a small portion of the adjacent occipital lobe with a small areas of residual chronic blood products and small chronic left cerebellar hemisphere infarct. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarction.2. No evidence of significant cerebral steno-occlusive lesions.