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There is a large focus of intra-axial hemorrhage within the pons measuring 2.8 x 1.4 x 1.8 cm. There is mass-effect upon the 4th ventricle which is partially effaced. No hydrocephalus. No other focus of intracranial hemorrhage identified. No signs of acute infarction. The basal cisterns are unremarkable. Opacification of the right maxillary sinus is likely chronic.
Large pontine intra-axial hemorrhage with effacement of the 4th ventricle. No hydrocephalus.
This patient had documented, long-standing, poorly controlled hypertension, and has gone on to have a CTA and MRI which demonstrated no underlying lesion.
The pons, along with the basal ganglia and cerebellar hemispheres, is a typical locations for a hypertensive hemorrhage.