Clinical question: 26-year-old male with leukemia and. Acute intracranial hemorrhage, evaluate for progression. Signs and symptoms: Acute intracranial hemorrhage. Unenhanced head CT:Examination demonstrate a small acute hematoma in the cortex of the right frontal lobe measuring 8.2 x 4 0.9-mm in size similar to prior MRI exam. Very subtle surrounding vasogenic edema is present.A second smaller left paramedian high convexity frontal hematoma measuring 6 x 4.4-mm in size and very minimal surrounding edema is also similar to prior exam.There is no evidence of any additional foci of hemorrhage, edema, mass-effect, midline shift or hydrocephalus.The ventricular system remains within normal limits and midline is maintained.A small arachnoid cyst at the level of pineal cistern is also similar to prior MRI exam finding.
1.Stable size and minimal surrounding edema of bilateral frontal parenchymal hematomas when compared with prior MRI exam.2.No evidence of any additional new findings since prior studies.