Demographics:
57 years old, Male
Indication:
Headache, weakness
Findings
- Areas of hypoattenuation in the right middle cerebellar peduncle and superior cerebellum with loss of gray-white differentiation
- Local mass effect partially effaces the right ambient cistern
- Patchy hypoattenuation in the left periatrial white matter
Diagnosis
Superior cerebellar artery infarct
Sample Report
Areas of hypoattenuation in the right middle cerebellar peduncle and superior cerebellum with loss of gray-white differentiation are concerning for acute/subacute infarcts in the right superior cerebellar artery distribution. Associated edema with resultant partial effacement of the right ambient cistern. No evidence of hemorrhagic transformation, herniation, or hydrocephalus. Recommend brain MRI for further evaluation.
Patchy hypoattenuation in the left periatrial white matter represents age-indeterminate infarct.
Discussion