Clinical question: Stroke, hemorrhage. Signs and symptoms: Weakness and paralysis. Nonenhanced head CT:Examination demonstrates a large area of vasogenic edema in the left mid to high convexity frontal lobe with resultant effacement of all adjacent cortical sulci. Within the region of vasogenic edema there is a suspected mass measuring approximately 17 times 17-mm in size. Recommend further follow-up with an MRI exam. There are also several subcortical areas of low attenuation which may represent a small less ischemic disease although a possibility of additional lesions/metastases cannot be ruled out.Calvarium is intact. There is evidence of an NG tube and with resultant partial opacification of paranasal sinuses.Dr. Susan Lim on pager number 3345 was paged and covering individual Julia Rives from 59215 responded to page and was notified of the above findings.
1.Left frontal mass with extensive surrounding vasogenic edema. There is focal mass effect and with no evidence of midline shift. Recommend further follow-up with an MRI examination.2.Subcortical and periventricular low-attenuation white matter is suspected of small vessel disease. Possibility of additional masses/metastases cannot be entirely ruled out.3.Calvarium is intact.4.Extensive opacification of paranasal sinuses. Likely result of intubation.