71 year old female with acute change in mental status. Evaluate for bleed. Extensive vasogenic edema of right cerebral hemisphere is again identified. There is significant midline shift to the left secondary to mass effect. In comparison with prior MRI the midline shift on the current exam has increased and measures 10.5-mm. Minimal increase in the size of lateral ventricles is also suspected. There is however no evidence of hemorrhage as clinically is questioned.
1.No evidence of hemorrhage as clinically is questioned.2.Increase in the amount of midline shift and slight increase in the size of ventricular system since prior MRI exam. 