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Radiology.Academy.Sk

CT Head Intraparenchymal bleed

Findings: There is a hyperdense (69 HU) mass within the white matter of the right frontal lobe which measures 1.4 x 1.4 x 0.9 cm. Subtle hypodensity surrounds this mass consistent with mild cerebral edema. Another, smaller hyperdense focus (Image 28, series 2) is noted immediately superior to the first measuring 0.5 x 0.4 x 0.4 cm. No additional intra or extra-axial hemorrhages are identified. There is no associated mass effect, hydrocephalus or herniation. There is mild diffuse brain parenchymal volume loss with commensurate mild prominence of the CSF-containing spaces. There are atherosclerotic calcifications in the distal internal carotid and vertebral arteries. An approximately 2.9 cm soft tissue defect courses laterally along the soft tissues of the right forehead.

The underlying calvarium is intact without evidence of fracture. There is stable appearance of the approximately 1.5 x 1.0 cm osseous excrescence off of the frontal bone consistent with a meningioma.

IMPRESSION:
1. Intraparenchymal hemorrhages in the right frontal lobe with no associated mass effect or herniation.
2. Soft tissue defect along the right forehead; the underlying calvarium is intact.
3. Other chronic and senescent findings to include right frontal meningioma; see comments above.