File:Cerebral hemorrhagic contusions- temporal evolution (Radiopaedia 40224-42754 Axial non-contrast 15).png

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Cerebral_hemorrhagic_contusions-_temporal_evolution_(Radiopaedia_40224-42754_Axial_non-contrast_15).png ‎(512 × 512 pixels, file size: 114 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 40224
  • Image ID: 16530224
  • Image stack position: 15/32
  • Plane projection: Axial
  • Aux modality: non-contrast
  • Study description: CT Brain - Day 3
  • Study findings: Direct comparison has been made with the previous study: Temporal evolution of the extensive right orbitofrontal, dorsal and mesial frontal, and right temporal pole, as well as left cerebellar hemisphere hemorrhagic contusions. The temporal horn of the left lateral ventricle has decreased in size. In addition there is less effacement of the ambient cisterns. There is a newly inserted right frontal ICP monitor.
  • Modality: CT
  • System: Central Nervous System
  • Findings: Bilateral frontal contusions, worse on the right. Subarachnoid hemorrhage over the right frontal lobe are noted in the sylvian fissures bilaterally. There is midline shift to the left of 3 mm. The basal cisterns are effaced. Left posterior fossa hemorrhage is probably extra-axial. Bilateral subtle skull base bone fractures which do not extend to the occipital condyles. On the right, the occipital fracture extends into the right jugular foramen through the vestibular apparatus across the facial nerve canal and in the right temporomandibular joint. The fracture also involves the right carotid canal. There are locules of gas seen within the semi circular canals. Blood fills the right middle ear cleft.
Date Published: 20th Oct 2015
Source https://radiopaedia.org/cases/cerebral-haemorrhagic-contusions-temporal-evolution
Author Bruno Di Muzio
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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