Neuro_CT_Head: 84 M, difficulty walking, rule out CVA.

CT OF THE HEAD:

CLINICAL HISTORY: Difficulty walking. Rule out CVA.

 

FINDINGS: A hyperdense lesion with a thin rim of surrounding vasogenic edema within the left parietal-occipital lobe measures 10 mm x 18 mm. This appearance is most suggestive of an intraparenchymal hematoma. There is no extension of the hematoma into the ventricles, or the subarachnoid or subdural spaces. There are also diffuse, patchy white matter hypodensities. 

The visualized paranasal sinuses are clear. The visualized ventricles and sulci appear mildly prominent but consistent with age. There is no midline shift or extra-axial fluid collection. Incidental note is made of a lacunar infarct in the anterior limb of the left internal capsule. Incidental note is made of carotid artery calcification and bilateral lens replacements.

 

IMPRESSION: 

 

1. Small, well-circumscribed hematoma in the left parietal-occipital lobe. DIfferential considerations include hypertension, amyloid angiopathy, or less likely tumor or underlying vascular malformations.

 

2. Diffuse, patchy white matter hypodensities are nonspecific but can be seen with chronic small vessel disease.