37 years Female (DOB:2/3/1979)Reason: eval for progression of bleed History: eval for progression of bleedPROVIDER/ATTENDING NAME: KRUPA G ANDALKAR CHRISTOPHER L KRAMER MRI of the brainThere is a large hematoma centered along the posterior and medial aspect of the right frontal lobe. It is stable. It is associated with vasogenic an cytotoxic edema and mild mass effect.Findings suggest a cord sign along the cortical draining vein adjacent to the hematoma with some thrombus extending into the superior sagittal sinus. This is best identified on coronal T2 imaging image 19 of series 9..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.MRV brain:The dural venous sinuses are patent. Straight sinus, internal cerebral veins and basal veins are identified and appear patent. The MRV of the brain is degraded by patient motion which may obscure more subtle abnormalities
1.There is redemonstration of a large hematoma associated with edema centered along the posterior and medial aspect of the right frontal lobe. Differences in modality makes it difficult to compare interval change.2.Findings are suggestive of a "cord sign" which may represent an occluded cortical vein adjacent to the hematoma.3.The superior sagittal sinus appears patent as do all the dural venous sinuses although there may be some thrombus within the superior sagittal sinus adjacent to the hematoma.4.Examination is degraded due to patient motion which would obscure more subtle findings.