19 year-old male with headache, sudden onset. Evaluate for intracranial hemorrhage. Electronic medical records provided history of sickle cell disease. There is no evidence of intracranial hemorrhage, mass or edema. A single focus of low attenuation is present along the anterior aspect of the left frontal horn which represents a focus of encephalomalacia. This is present on prior CT and MRI examinations compatible with a focus of encephalomalacia most likely secondary to sequela of sickle cell disease and appears unchanged. No new foci are appreciated.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
No acute intracranial abnormalities.