File:Chronic hypertensive encephalopathy (Radiopaedia 72457-82987 Axial FLAIR 16).jpg

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Summary:

Description
  • Radiopaedia case ID: 72457
  • Image ID: 51778164
  • Image stack position: 16/21
  • Plane projection: Axial
  • Aux modality: FLAIR
  • Modality: MRI
  • System: Central Nervous System
  • Findings: Large T2 hypointense and T1 hyperintense early subacute intraparenchymal hematoma is seen in right temporo-parietal lobe measuring 5.0 x 5.0 x 4.7 cms (AP x TR x CC) with moderate surrounding edema. Mass effect is noted with compression of ipsilateral lateral ventricle & mild dilatation of contralateral lateral ventricle with midline shift of 7.0 mm to left. There is intraventricular extension of hemorrhage into occipital horn of left lateral ventricle. Confluent areas of hyperintense signal are seen in bilateral cerebral and cerebellar white matter on T2 & FLAIR sequences - representing chronic small vessel ischemic changes. Chronic lacunar infarcts are seen in right hemipons, left thalamus and bilateral basal ganglia. Multiple foci of blooming are seen in bilateral cerebellar hemispheres, bilateral parietal lobes and pons - representing hypertensive microhemorrhages.
Date Published: 30th Nov 2019
Source https://radiopaedia.org/cases/chronic-hypertensive-encephalopathy-3
Author Vinay V Belaval
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current15:05, 21 August 2021Thumbnail for version as of 15:05, 21 August 20211,830 × 2,440 (314 KB)Fæ (talk | contribs)Radiopaedia project rID:72457 (batch #8035-58 C16)

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