Demographics:
25 years old, Male
Indication:
Left arm numbness
Findings
- Patchy hypoattenuation in the bilateral frontal, parietal, and occipital subcortical white matter
- Hyperattenuating appearance of the superior sagittal sinus as well as of multiple cortical veins
- Several linear areas of hyperattenuation along the right frontal cortex
Diagnosis
Dural venous sinus thrombosis
Sample Report
Findings concerning for dural venous sinus thrombosis with patchy areas of subcortical hypoattenuation alongside the superior sagittal sinus concerning for edema or developing venous infarcts. Recommend brain MRI with and without contrast for further evaluation.
Possible small volume subarachnoid overlying the right frontal lobe without additional evidence of intra- or extraaxial hemorrhage.
Discussion