CTB: Non-contrast axial images through the brain have been obtained. Comparison made to the previous MRI brain.
2.9 x 2.6 x 1.8 cm left cerebellar haemorrhage with surrounding vasogenic oedema. This exerts very mild mass effect upon the fourth ventricle. No hydrocephalus. No tonsillar or uncal herniation. No other intracranial haemorrhage. Grey-white matter differentiation is preserved with no evidence of acute ischaemia.
No calvarial fracture or suspicious bony abnormality seen. Imaged paranasal sinuses and mastoid air cells are clear.
The extracranial vessels, circle of Willis and vertebrobasilar system opacify normally with no aneurysm, vascular malformation, dissection or significant stenosis detected.
Vertebral arterial circulation demonstrates co-dominance. Aortic arch anatomy is conventional.
Degenerative changes of the cervical spine most marked at C5/6. No suspicious bone lesions. Lung apices clear. Conclusion
Large left cerebellar haemorrhage is stable in size compared to the MRI from 28/4/15. Very mild mass effect on the fourth ventricle. No hydrocephalus.
Normal CTA COW.