 BRAIN: There is an unchanged 1 cm thick subdural hematoma along the right temporal convexity with layering blood products. There is also an unchanged 1.2-cm right temporal lobe intraparenchymal hematoma that extends through the cortex into the subdural compartment and is contiguous with the subdural hematoma. There is surrounding edema throughout the lateral aspect of the right temporal lobe as well decreased diffusion compatible with acute infarction. There is also mildly decreased diffusion along the mesial right temporal lobe with extension superiorly into the dorsolateral aspect of the right thalamus. These findings result in unchanged minimal effacement of the right aspect of the suprasellar cistern as well as the right ambient cistern. There is minimal susceptibility effect layering within the occipital horns compatible with intraventricular hemorrhage. The ventricles have mildly increased in size. There is also mild susceptibility effect along the posterior falx cerebri and tentorium that likely represents birth related trauma. The major cerebral flow voids are intact. The myelination pattern is appropriate for age. The midline sagittal structures and craniocervical junction are unremarkable. MRA HEAD: The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis, aneurysm or vascular malformation.
1.Unchanged right temporal intraparenchymal and subdural hematoma with associated infarction of the lateral right temporal lobe. There is unchanged mild effacement of the right ambient and suprasellar cisterns.2.Mild intraventricular hemorrhage with an interval increase in ventricular size concerning for early absorptive hydrocephalus.3.Additional mild hemorrhage along the tentorium and posterior falx is most compatible with birth related trauma.4.No evidence of intracranial aneurysm or vascular malformation.