 Examination is significantly limited secondary to extensive motion artifact. Of note, the examination was terminated prematurely. The previously identified left parietal lobule and left superior frontal gyrus intraparenchymal hematomas and surrounding vasogenic edema appear grossly similar in size to prior examination. There are scattered areas of subarachnoid hemorrhage. There is a small low T2 and intermediate T1 signal subdural hematoma overlying the left convexity. There is no midline shift i. The ventricles are unchanged in size. There is no evidence for acute ischemia. A large right frontal scalp hematoma is again demonstrated.
1. Severely limited examination demonstrates left parietal lobe and left superior frontal gyrus hematomas with scattered areas of subarachnoid hemorrhage and small left convexity subdural hematoma, as well as a large right frontal scalp hematoma appear to be grossly similar to the prior examination, accounting for differences in technique. 2. No evidence for acute ischemia. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.