 Bilateral right greater than left mixed density subdural hematoma extending from the floor of the anterior cranial fossa to the vertex of the skull. The right subdural measures approximately 16 mm (image number 18, series number 3) and the left subdural measures approximately 8 mm (image 19, series 3). Blood blood levels are identified bilaterally. There is associated mass effect and effacement of the sulci. No midline shift or parenchymal hemorrhage is seen.There is evidence of a right-sided anterior temporal lobe cortical stroke with associated encephalomalacia. There is also encephalomalacia of the right occipital lobe. Extensive subcortical and periventricular white matter hypoattenuation likely representing small vessel ischemic disease of indeterminate age is seen.The ventricles are normal in volume and the midline is maintained. The gray-white matter differentiation is preserved. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Bilateral right greater than left subdural hematomas as described above.2. Right anterior temporal lobe and right occipital lobe encephalomalacia.3. chronic ischemic degenerative disease.