Fig. 12.

10-year-old female presented with right-sided hemiparesis based on ICH within the left hemisphere with intraventricular extension shown at NECT (a). A DECTA was performed. Shown are mixed images at H20 (b) and H31 kernel (c), without underlying pathology and initially read as without spot sign. VNC (d) visualized the hematoma. IOM (e) and fusion images (f) clearly demonstrated a spotsign centrally in the hematoma (conventional CT 120 kVp, 300 mAs, CTDI 44.47 mGy, DLP 747 mGycm. DECTA 80/Sn140 kVp, 310/155 mAs, CTDI 26.34 mGy, DLP 433 mGycm). 50 cc iodinated contrast 300 mg/ml; injection rate 2.8 cc/s; 20 cc saline flush 2.8 cc/s)