Presentation
This patient is from a nursing home. Right sided weakness developed rapidly a few weeks ago. Non contrast CT demonstrated low density region.
Patient Data
Age: 70 years
Gender: Female
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Info
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A region of irregular peripheral enhancement involves the left lentiform nucleus and internal capsule.
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![](https://prod-images-static.radiopaedia.org/images/16780/798e4d755013ed77d8bbc98c9a790d_big_gallery.jpeg)
MRI of the brain demonstrates the lesion to have signal consistent with blood (high T1 and T2 centrally, peripheral hemosiderin).
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![](https://prod-images-static.radiopaedia.org/images/16771/d6ad634674d443d270f5c511cd3c95_big_gallery.jpeg)
The corticospinal tracts on the left demonstrates high T2 signal in the left cerebral peduncle with reduced volume.
Case Discussion
This case demonstrates how vividly a resolving hematoma can enhance.