22 years Female (DOB:12/5/1993)Reason: hemorrhage History: surveillancePROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE MRI of the brainThere is redemonstration of a left frontal lobe lesion which is associated blood products. It measures now 27 x 23 mm axial dimensions whereas it previously measured 35 x 28 mm axial dimensions. The edema surrounding the lesion has regressed. Blood products within it have evolved. Centrally it has a mixture of T1 hyperintensity and intermediate signal and on T2 imaging it has a mixture of T2 hyperintensity and some intermediate signal.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.The soft palate appears symmetrically thick more so than on the prior exam.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified and is medium size.. The posterior communicating arteries are small in the right side and medium size on the left. The vertebral arteries are similar in size. There is extracranial origin of the left posterior inferior cerebellar artery.
1.Continued evolution of a left frontal lobe hematoma.2.No evidence for intracranial cerebrovascular occlusive disease.3.Some thickening of the soft palate in a symmetric fashion could be related to superimposed secretions and is nonspecific.