Delirium, personality changes, evaluate for stroke versus dementia. The examination is limited by motion artifact. There has been interval development of bilateral subdural hematomas involving the cerebral convexities since prior CT, which demonstrated mild nonspecific prominence of the bifrontal extra-axial spaces without clear subdural collection. The collections are mixed signal, however predominantly T1 hyperintense suggesting that they are subacute. The collection on the right measures up to 13 mm while the collection on the left measures up to 8 mm in width. There is right greater than left mass effect and 5 mm leftward midline shift. The right frontoparietal lobe sulci are particularly effaced. The basal cisterns are patent with no evidence for uncal herniation. Foci of susceptibility in the right frontal and temporal lobes relate to dystrophic appearing calcifications seen on prior CT. There is no evidence for acute ischemia or acute intraparenchymal hemorrhage. No hydrocephalus. A retrocerebellar cystic space likely relates to mega cisterna magna or small arachnoid cyst without mass effect. Mild scattered paranasal sinus mucosal thickening is seen.
Subacute subdural hematomas along the bilateral cerebral convexities, larger on the right than the left. There is associated mass effect including adjacent sulcal effacement and 5 mm leftward midline shift.Findings were reported to D. Dismukes on 10/26/2016 at 4:00 PM and the patient was subsequently transferred to the emergency department.