 MRI Brain: There is redemonstration of hemorrhage within the left thalamus and throughout the ventricular system. The temporal horns are symmetrically prominent and proportional to the lateral ventricles. There is some additional small foci of susceptibility parenchymal abnormality including within the left parietal region and the lateral left basal ganglia which are nonspecific. There is no midline shift or herniation.MRA Head: The intracranial internal carotid arteries, middle cerebral arteries and right anterior cerebral artery are patent without significant stenosis. There is a hypoplastic left A1 segment. The proximal V4 segments are not well-visualized but is felt to be artifactual. Otherwise the vertebral arteries and basilar artery are patent without significant stenosis. There are fetal-type posterior cerebral arteries bilaterally which are developmental variants. No evidence of aneurysms or vascular malformations.
1.No significant interval change in the acute hemorrhage within the left thalamus and throughout the ventricular system.2.The temporal horns are symmetrically prominent and proportional to the lateral ventricles. However, continued close follow-up is suggested.3.Intracranial vasculature within normal limits and without flow-limiting stenosis, aneurysm or arterial vascular malformation.