4-month-old male with persistent vomiting and macrocephaly. Increased head circumference in past one month. Please evaluate for hydrocephalus. There are bilateral extra-axial fluid collections in the frontal regions. There are no clearly visible bridging cerebral veins to indicate a subarachnoid location. Based on the current study, chronic subdural hematoma cannot be excluded. Recommend MRI for further evaluation of these fluid collections as clinically indicated.The ventricles and basal cisterns are slightly prominent but not clearly abnormal.The calvaria appears enlarged. The skull base is radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Bilateral extra-axial fluid collections. Chronic subdurals versus subdural hygroma. Recommend MRI to better evaluate as clinically indicated.