Clinical question: Follow-up subdural hematoma. Signs and symptoms: History of subdural hematoma. CT of brain without the infusion:In comparison with the prior examination there is complete resolution of patient's bilateral subdural hematomas. The cortical sulci are better visualized on this study secondary to lack of mass effect by subdural. Patchy areas of periventricular and subcortical low attenuation are consistent with small vessel disease of indeterminate age. No hemorrhage is detected. A calcific density at the level of the left leaf of tentorium (axial image 10) is consistent with a small meningioma and was noted on prior MRI examination. This lesion measures 7.8-mm times 16-mm. Meningioma is in contact with the pons however with no mass effect or deviation.
1.No evidence of residual subdural or any new bleed.2.Small vessel disease of indeterminate age.3.Small meningioma along the edge of the left tentorial leaf with no change since prior MRI.