Questions and Answers
What is the size of the hyperdense hematoma seen in the left high frontal lobe?
2.4 * 1.7 cm
What is the direction of the mild line shift seen in the 19th December report?
10 mm towards right
What is the appearance of the underlying bone in the left fronto parietal region?
Normal
What is the likely cause of the mass effect seen in the 19th December report?
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What is the extent of the intraventricular extension seen in the 19th December report?
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What is the gentleman's history of admission to the hospital?
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Study Notes
Initial Findings (17th December)
- Hyperdense Hematoma measuring 2.4 x 1.7 cm with minimal surrounding edema is seen in the left high frontal lobe.
- No significant mass effect is observed.
- Hypodensity predominantly involving white matter and associated gyral thinning is seen in the right frontal lobe, suggesting an old infarct.
- Soft tissue scalp swelling with subgaleal hematoma is seen along the left temporo-frontal convexity.
- Mild bilateral periventricular and subcortical hypodensity is evident.
- Generalized prominence of sulci, cisterns, and ventricles is observed.
Follow-up Findings (19th December)
- Area of hypodensity of blood (HU) measuring 5.5 cm x 2.6 cm is seen involving the left basal ganglia and left high frontal cortex.
- Mass effect is caused, resulting in effacement of the ipsilateral lateral ventricle and a mild 10 mm line shift towards the right.
- Intra-ventricular extension is seen into bilateral lateral ventricles.
- Subgaleal hematoma is seen in the left fronto-parietal region, with normal underlying bone.
Patient History
- Gentleman admitted to the hospital with a history of Loss of Consciousness (LOC) and Fall.
- Diagnosis of frontal Intra-Cerebral Hemorrhage (ICH) with Intra-Ventricular Hemorrhage (IVH).
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