CT HEAD WITHOUT CONTRAST:
CLINICAL HISTORY: 18-year-old male with history of ALL now with new seizure; assess for intracranial mass or bleed.
FINDINGS:
There is a new
right temporal hematoma, measuring 4.5 cm in AP dimension. Minimal associated effacement of the right lateral ventricle is present. Gray-white differentiation is intact.
There is no ventriculomegaly. There is minimal 3 mm shift of the midline structures to the left without herniation.
Diffuse sulcal effacement is present.
IMPRESSION:
1. Dural venous thrombosis with likely right temporal lobe hemorrhagic infarct, as described above.
2. Cervical emphysema. Clinical correlation is recommended.