Subdural hematomas. 73-year-old female Patient is status-post of left and right craniotomies.There is redemonstration of bilateral subdural hematomas which have decreased in density since previous exam.. These are unchanged in thickness since the prior exam measuring approximately 9 mm in the right and 13 mm on the left. There is an intracranial pressure monitor present.Along the left inferior frontal gyrus and anterior temporal lobe. There is hypodensity present. This was also present on the prior CT exam. It is suspicious for infarction.Some blood products are present in the occipital horn of the right lateral ventricle. The temporal horns the lateral ventricles are mildly dilated. The sulci are not effaced. In general, the lateral ventricles are larger on the current exam versus the prior CT exam. They are similar in size to the recent MRI exam of 12/30/09.There is opacification of the mastoid air cells and middle ears status-post intubation.There is mucosal thickening along the sphenoid sinus and ethmoid air cells.Opacification of a mastoid air cells is and partial opacification of paranasal sinuses is associated with intubation. Atherosclerotic calcifications of a moderate to marked degree are present in the distal internal carotid arteries.
1.The bilateral subdural hematomas have gradually decreased in size since exams dating back to 12/16/09.2.The lateral ventricles are mildly dilated, as described above.3.Findings are compatible with a foci of infarction in the left frontal lobe and temporal lobe.