Age: 53
Sex: Male
Indication: Aphasia, left-sided neglect
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Case #23
Findings
- High attenuation in the straight sinus and internal cerebral veins as well as throughout the superior sagittal sinus
- Area of hypodensity involving the majority of the left thalamus and extending into the genu of the left internal capsule
- Mild associated mass effect on the third ventricle
- High attenuation material within the folia of the cerebellum, particularly on the right
- Scattered subcortical and periventricular white matter hypodensities
Diagnosis
- Dural venous sinus and deep cerebral vein thrombosis with thalamic edema and trace hemorrhage
Sample Report
High attenuation in the straight sinus and internal cerebral veins as well as throughout the superior sagittal sinus, concerning for thrombosis. Recommend brain MRI with and without contrast for further evaluation.
Area of hypodensity involving the majority of the left thalamus and extending into the genu of the left internal capsule likely represents edema/developing infarct related to venous thrombosis. Mild associated mass effect on the third ventricle without herniation or hydrocephalus.
High attenuation material within the folia of the cerebellum, particularly on the right, consistent with a small amount of likely mixed parenchymal and subarachnoid acute hemorrhage related to venous thrombosis.
Scattered subcortical and periventricular white matter hypodensities, which are nonspecific but may reflect sequela of chronic microvascular ischemic disease.
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