Clinical question bone left-sided weakness. Signs and symptoms: left-sided weakness. Status post craniotomy. Nonenhanced CT of brain:Examination demonstrate a large right frontal -- temporal craniotomy. Residual air and blood (epidural space) under the craniotomy flap is noted. This finding measures approximately 10.4 mm in thickness. There is large area of vasogenic edema in the right frontal lobe with multiple foci of small hemorrhage. The area of vasogenic edema was noted on prior MRI examination however no hemorrhage was detected on preoperative study. There is diffuse effacement of cortical sulci in the right hemisphere. There is approximately 2 mm midline shift. No hydrocephalus.
1.Epidural blood under the craniotomy flap measuring approximately 10.4 mm.2.extensive vasogenic edema of right frontal lobe with multiple small foci of hemorrhage.3.Approximately 2 mm midline shift. No hydrocephalus.