Clinical question: Status post pericardial window POD #1. Now with new facial droop. Evaluate for acute stroke, intracranial hemorrhage. Signs and symptoms: Left facial droop, right pronator drift. CT of brain without infusion:Images through posterior fossa demonstrate minimal prominence of the fourth of the cerebellum and vermis and are otherwise unremarkable.Images through supratentorial space demonstrate an area of low attenuation involving the subcortical white matter of right frontal lobe. This appears to apply mass effect on the adjacent cortical sulci and is highly suspected for an acute stroke. If clinically is desired an MRI can further evaluate this area of stroke. There is no evidence of hemorrhage, ventriculomegaly or midline shift. Calvarium, limited view of paranasal sinuses and mastoid air cells are also unremarkable.
1.Focal area of edema in subcortical right frontal lobe suspected for an acute/subacute stroke considering patients provided clinical data.2.No evidence of hemorrhage, hydrocephalus or midline shift.