Non contrast multislice CT of the brain
- Fresh blood density is seen smearing the cortical sulci and extraaxial CSF spaces as well as as basal cisterns and cerebellar follia with extension to the 4th , 3rd and both lateral ventricles .Extensiove subarachnoid hemorrhage
- Well defined oval shaped hyperdense intracerebral lesion , seen in right frontal region , measures about 3x4x5 in AP ,TS and CC in its maximal diameter , surrounded by perifocal brain oedema.
- Infra and supratentorial ventricles are dilated denoting the presence of hydrocephalus .
- Preserved normal gray-white matter interface.
- Normal extra-axial CSF spaces & basal skull cisterns.
- Normal appearance of the brain stem and cerebellum .
- Scanned para-nasal sinuses are clear .
- No fracture line seen
Conclusion
@ Sub-arachnoid hemorrhage with
intraventricular extension .
@ Right frontal intracerebral
acute hematoma .