altered mental status with new dysphasia, postoperative status of right temporal lobe oligodendroglioma. There are bihemishperic subdural hematoma with mild mass effects especially on the left hemisphere. Midline shift toward right side was seen with the degree of about 14mm at the level of foramen of Monroe.Surgical defect on the right anterior temporal lobe does not show any interval change nor evidence of recurrence of tumor. No evidence of abnormal enhancement. Stable multiple small hemorrhagic lesion on the left frontal lobe since prior exam.FLAIR images show multifocal scattered patchy high signal intensities bilaterally indicating non specific small vessel disease, no change since prior exam.There is no evidence of acute ischemic lesion on this scan.Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses are clear.There are fluid collections on the right mastoid air cells, slightly progressed since prior exam.
1. Bihemispheric subdural hematoma with mass effects toward left hemisphere and midline shift toward right side.2. No evidence of acute ischemic lesion.3. No evidence of tumor recurrence.4. Non specific small vessel disease, stable since prior exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.