Headache with a history of ALL. Question metastases or mass. There is suggestion of a small subdural hematoma at the vertex. There is no evidence of mass effect, edema or midline shift. Lack of intravenous contrast limits the evaluation for metastases. If there is clinical concern for metastases, an MRI with contrast is recommended for better evaluation.The ventricles and sulci appear prominent for the patient's age, consistent with volume loss. This is more prominent than on the prior study.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Suggestion of a small subdural hematoma at the vertex. If there is clinical concern for metastases, an MRI with contrast is recommended for evaluation.