Age: 44
Sex: Female
Indication: Headache
Save ("V")
Case #10
Findings
- Hyperdensity in the left transverse sinus, straight sinus, vein of Galen, and in veins coursing along the left cerebellar hemisphere
- Scattered linear hyperdensities within sulci in the bilateral cerebral and cerebellar hemispheres
- Small acute parenchymal hemorrhage in the high right frontal lobe
- Hypodensity in the left temporo-occipital region
- Right frontal sinusitis
Diagnosis
- Venous sinus thrombosis with associated hemorrhage and parenchymal edema
Sample Report
Hyperdensity in the left transverse sinus, straight sinus, vein of Galen, and in a vein coursing along the left cerebellar hemisphere concerning for venous thrombosis. Small acute parenchymal hemorrhage in the high right frontal lobe raises concern for superior sagittal sinus and/or cortical vein thrombosis as well. Recommend brain MRI with and without contrast for further evaluation.
Scattered linear hyperdensities within sulci in the bilateral cerebral and cerebellar hemispheres, which may represent small volume subarachnoid hemorrhage and/or additional small thrombosed veins. No hydrocephalus.
Hypodensity in the left temporo-occipital region consistent with edema/developing venous infarct.
Right frontal sinusitis.
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