Case Notes
History
50 yo male with an acute onset headache. He had mild hypertension, but was otherwise in reasonable health. The prior head CT performed one year earlier had demonstrated several lacunes and sulcal atrophy on the right. Exam was performed for early changes in mentation and memory.Exam
MR T1-w pre contrast
Prior Study
CT Head pre contrast1. Acute mid temporal white matter centered hemorrhage.
2. Background of a lacunar defect in the right caudate head, regional atrophy in the right cerebral hemisphere and early leukomalacia in the centrum semiovale bilaterally. These find indicate an underlying encephalopathy.