RADIOLOGY: HEAD: Case# 33245: ?. Patient with Sickle cell anemia with a crisis. Rule out bleed. There is no evidence of intracranial hemorrhage. There is minimal dilatation of the lateral ventricles due to a mild degree of deep atrophy.There is mild dilatation of the temporal horns. No hemorrhage. The patient has a very thick skull, which is expected in patients with Sickle cell anemia, however, there is a very unusual pattern of multiple cystic changes in the very thick area of the skull; this could be secondary to longstanding changes in the skull due to Sickle cell anemia.