Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 56 year old female with sudden inability to speak clearly and confusion. There is history of alcoholism. Exam CT head Prior Study none Dicom View Reference Material
Section 1 Submit Findings Case352a Findings Non-Contrast CT Head There is evidence of recent intracranial (subarachnoid/cisternal/intraventricular) hemorrhage. Yes No There is evidence of focal edema or mass effect consistent with underlying parenchymal abnormality (i.e. foreign tissue lesion or FTL as in stroke, brain tumor, encephalitis, etc.) Yes No There is regional loss of sulci with compression of cisterns, and ventricles indicative of local mass effect, or pseudotumor cerebri, etc. Yes No There is global background CT density asymmetry between the cerebrum vs cerebellum (only evident when using narrow/high contrast window widths), which if present, is consistent with global hypoxic-ischemic (HIE) event where the cerebrum is uniformly hypodense and the cerebellum is actually normal or near normal. Yes No There is evidence of dural sinus or cortical vein thrombosis. Yes No There is abnormal brain calcification consistent with prior TORCH infection, as a cause of a seizure event. Yes No There is apparent parenchymal dysgenesis (i.e. Sturge-Weber, NF, tuberous sclerosis, etc), or brain formation anomly, as a cause of a seizure event. Yes No There is evidence of aggressive otomastoid or paranasal sinus infectious disease, which could lead to cortical vein phlebothrombosis or dural sinus thrombosis. Yes No There are one or more lacunar defects or areas of encephalomalacia or evidence of subcortical leukomalacia consisent with post ischemic injury, or multiple other etiologies as trauma, post encephalitis, post HIE, toxic encepalopathy, etc. Yes No Other Other significant imaging findings are present. Yes No