60-year-old female recently managed for acute subdural bleed status post PEA arrest during MRI after administration. Global aphasia and generalized hyperreflexia. There is no evidence of new intracranial hemorrhage, mass or edema. The previously described epidural bleed with some adjacent mass effect appears slightly smaller than before. Within the left high convexity there is a possible subdural hygroma which exerts mass effect on the adjacent parenchyma. This may be further evaluated with MRI as clinically warranted.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Slightly smaller appearing epidural hemorrhage and a new adjacent left subdural hygroma which exerts mass effect on adjacent parenchyma and may be further evaluated with MRI as clinically warranted.