2-day-old male with apnea and multiple bradycardic events. Assess for bleed. Note is made of curvilinear hyperattenuation along the right and left tentorium consistent with a small subdural hematoma layering along the tentorium. Note is made of diffuse generalized hypoattenuation affects the entire right cerebral hemisphere, which may be related to technical artifact, however, if high clinical suspicion for acute ischemia, further evaluation with MRI could be considered. There is no evidence of intracranial mass. There is no mass effect or midline shift. There is preservation of the gray-white matter interface. There is no evidence of acute territorial ischemia. The ventricles and basal cisterns are normal in size and configuration. There is no effacement of the basal cisterns. The calvaria and skull base are radiographically normal. The visualized mastoid air cells and paranasal sinuses are within normal limits.
1. Trace subdural hematoma layering along the tentorium. Close interval follow up examination is recommended. 2. Diffuse generalized hypoattenuation affects the entire right cerebral hemisphere, which may be related to technical artifact, however, if high clinical suspicion for acute ischemia, further evaluation with MRI could be considered.These findings and recommendations were discussed via direct phone call with Emily Weiss at 11:00 am on 4/13/13.