Medical Imaging Report Analysis
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Questions and Answers

What is the size of the hyperdense hematoma seen in the left high frontal lobe?

  • 2.4 * 2.6 cm
  • 2.4 * 1.7 cm (correct)
  • 5.5 * 2.6 cm
  • 1.7 * 1.7 cm

What is the direction of the mild line shift seen in the 19th December report?

  • 5 mm towards left
  • 10 mm towards right (correct)
  • 10 mm towards left
  • 5 mm towards right

What is the appearance of the underlying bone in the left fronto parietal region?

  • Abnormal
  • Fractured
  • Normal (correct)
  • Displaced

What is the likely cause of the mass effect seen in the 19th December report?

<p>Hypodensity in the left basal ganglia and left high frontal cortex (B)</p> Signup and view all the answers

What is the extent of the intraventricular extension seen in the 19th December report?

<p>Bilateral lateral ventricles (C)</p> Signup and view all the answers

What is the gentleman's history of admission to the hospital?

<p>History of LOC/Fall with frontal ICH and IVH (C)</p> Signup and view all the answers

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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Description

This quiz is based on a medical imaging report that discusses a patient's brain condition, including a hematoma and hypodensity in the frontal lobe. It requires understanding of medical terminology and concepts.

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