CT SCAN OF THE BRAIN รด ใหมทอง หล่มสัก
Clinical case to rule out ICH.
Contiguous 5 mm axial slice thickness was performed through the base of skull and the rest of the whole brain without contrast administration.
Motion artifact is obtained, causing limitation of this study.
The study reveals extraaxial lens-shaped hyperdense lesion at left temporal region, measured about 3.68x1.81 cm. Two extraaxial hyperdense lesions at left frontal region and left inferior frontal region are detected, measured about 3.63x0.74 cm, 3.62x1.38 cm, respectively.
Multiple small intraaxial hyperdense lesions at left inferior frontal lobe, right temporal lobe are detected, measured up to 1.14x1.03 cm.
Multiple air densities at bilateral frontal regions, anterior interhemispheric fissure, bilateral temporal regions, left occipital region, basal cisterns, left posterior cranial fossa are detected.
No shifting of the midline structure is seen. No dilatation of the ventricular system is demonstrated. The basal cisterns are preserved.
Fracture at left frontal bone, left parietal bone, along left coronal suture, left temporal bone, left zygomatic arch, lateral wall of left orbit, medial wall of left orbit, floor of left orbit, roof of left orbit, roof of right orbit, medial wall of right orbit, sphenoid septum, roof of ethmoid sinus, posterior wall of left frontal sinus, left lateral pterygoid process, maxilla bone, nasal bone is detected.
Fluid in bilateral ethmoid sinuses, left sphenoid sinus, left frontal sinus, left maxillary sinus is detected. Soft tissue swelling at left frontal scalp, left eyelid, left maxillary region, left zygomatic region is detected.
IMPRESSION:
Motion artifact is obtained, causing limitation of this study.
- Acute epidural hematoma at left temporal region.
- Suspected two acute epidural hematoma at left frontal region, left inferior frontal region.
- Multple small intracerebral hemorrhage at left inferior frontal lobe, right temporal lobe.
- Pneumocephalus.
- Fracture at left frontal bone, left parietal bone, along left coronal suture, left temporal bone, left zygomatic arch, lateral wall of left orbit, medial wall of left orbit, floor of left orbit, roof of left orbit, roof of right orbit, medial wall of right orbit, sphenoid septum, roof of ethmoid sinus, posterior wall of left frontal sinus, left lateral pterygoid process, maxilla bone, nasal bone.
- Bloody fluid in bilateral ethmoid sinuses, left sphenoid sinus, left frontal sinus, left maxillary sinus.
- Soft tissue swelling at left frontal scalp, left eyelid, left maxillary region, left zygomatic region.
Sarawut M.D.