Demographics:
51 years old, Female
Indication:
Fall
Findings
- Small volume acute subarachnoid hemorrhage layering in the anterior hemispheric fissure, right sylvian fissure, and interpeduncular fossa
- Small volume intraventricular hemorrhage layering in the occipital horns of the lateral ventricles
- Asymmetric enlargement of the left lateral ventricle
- Age-advanced cerebral atrophy particularly involving the left temporal lobe with asymmetric enlargement of the left sylvian fissure
- Acute right medial orbital wall fracture with overlying contusion in the right cheek and periorbital soft tissues
- Hemosinus in the right maxillary sinus and right ethmoid air cells
- Multiple dental caries and periapical lucencies
Diagnosis
Subarachnoid hemorrhage in the interpeduncular fossa
Sample Report
Small volume acute subarachnoid and intraventricular hemorrhage. No intraparenchymal hemorrhage. No mass effect or hydrocephalus.
Acute right medial orbital wall fracture with associated hemosinus and overlying soft tissue contusion. No retrobulbar hematoma. Globes are intact.
Age-advanced cerebral atrophy, most pronounced in the left temporal lobe with associated asymmetric enlargement of the left sylvian fissure and of the left lateral ventricle.
Discussion