Subacute hemorrhagic stroke - enhancing

Case contributed by Frank Gaillard
Diagnosis almost certain


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

CT brain


A region of irregular peripheral enhancement involves the left lentiform nucleus and internal capsule. 

MRI brain


MRI of the brain demonstrates the lesion to have signal consistent with blood (high T1 and T2 centrally, peripheral hemosiderin).

MRI brain (months later)


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. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.