70 years Female (DOB:10/10/1946)Reason: evaluate for cortical damage History: SDHPROVIDER/ATTENDING NAME: AGNIESZKA ANNA ARDELT AGNIESZKA ANNA ARDELT On diffusion-weighted imaging there is no convincing evidence for cerebral infarction. Some signal hyperintensity is present along the right middle frontal gyrus which does not display diffusion restriction.The patient is status post right parietal craniotomy. There is redemonstration of a subdural collection adjacent to the right hemisphere measuring up to 9 mm in thickness. There is an additional right tentorial leaf subdural hematoma measuring 5 mm which is also unchanged compared to the prior exam. There is a small amount of intracranial air within the subdural space.There is associated mass effect with 10 mm shift of the septum pellucidum towards the left side which was also present on the prior exam and hasn't changed. There is subfalcine herniation present and mild uncal herniation.There is redemonstration of 2 small intraparenchymal hematomas in the right occipital lobe one measuring 8 x 5 mm and the other measuring 12 x 10 mm sagittal dimensions. These too are stable.The visualized portions of the paranasal sinuses demonstrate some mucosal thickening. The visualized portions of the mastoid air cells demonstrate scattered opacities bilaterally.. The visualized portions of the orbits are intact.
1.There is redemonstration of subdural and intraparenchymal hematomas which are stable compared to the prior exam. There is associated subfalcine and uncal herniation which is also stable compared to the prior exam.2.Findings are compatible with a small contusion along the right middle frontal gyrus which is not readily identified on the CT3.The patient is status post right-sided craniotomy