 Redemonstrated is enlargement and enhancement of a mass within the tectal plate, exerting mass effect upon the adjacent aqueduct. The lateral and third ventricles are enlarged, unchanged. A right frontal approach ventriculostomy catheter is again noted, however its tip now lies along the lateral aspect of the right frontal horn, previously medially. Fluid seen about the shunt reservoir suggests interval manipulation or revision. Pneumocephalus demonstrated on the prior exam from procedure has resolved. There is now right holohemispheric subdural fluid of CSF intensity which measures up to 11 mm in maximal depth, exerting some mild flattening of adjacent gyri. New sinuses and mastoid air cells are clear. Expected vascular flow voids are demonstrated.
1.Redemonstrated is enlargement and enhancement of a mass within the tectal plate, exerting mass effect upon the adjacent aqueduct. 2.The lateral and third ventricles are enlarged, unchanged. A right frontal approach ventriculostomy catheter is again noted, however its tip now lies along the lateral aspect of the right frontal horn, previously medially. Fluid seen about the shunt reservoir suggests interval manipulation or revision. 3.There is now right holohemispheric subdural fluid of CSF intensity which measures up to 11 mm in maximal depth, exerting some mild flattening of adjacent gyri. 