CT HEAD WITHOUT AND WITH CONTRAST

INDICATION

Follow-up.
History of headaches with superimposed balance disturbances.

TECHNIQUE

Unenhanced followed by contrast-enhanced acquisition with IV iodinated contrast.

FINDINGS

Exam compared with that of [DATE]

Supratentorial compartment:

Right temporal subdural hematoma.
The anterior portion shows decreased density and a maximum thickness of 8 mm.
Overall stable appearance of the posterior portion with a maximal thickness of 13 mm.
No evidence of recent hemorrhage.
No significant mass effect on adjacent structures.
Stable right temporo-occipital sequelae with tissue loss.

Stable appearance of periventricular microangiopathic white matter changes.
Enlargement of intra- and pericerebral CSF spaces without signs of hydrocephalus.

No abnormal enhancement.

Infratentorial compartment:

No abnormal spontaneous attenuation in the brainstem and cerebellum.

Fourth ventricle midline, normal in size and morphology.

Normal appearance of the basal cisterns.

No abnormal enhancement.



IMPRESSION

Right temporal subdural hematoma without evidence of recent hemorrhage.
No hydrocephalus. Stable parenchymal sequelae.
Vascular leukoencephalopathy.

Dr. [NAME]
