Female, 39 years old. Reason: assess bleed R ICH-- going straight to OR History: altered mental status There is an acute right temporal lobe hematoma measuring 4.6 x 3.5 cm with surrounding vasogenic edema and associated 10 mm of leftward midline shift. Small amount of subarachnoid hemorrhage is also present. There is no evidence of hydrocephalus.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Acute right temporal lobe hematoma with associated vasogenic edema and midline shift.