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Bilateral acute subdural haemorrhages are noted overlying both cerebral hemispheres. On the right is largely confined to the frontal region, and measures up to 8 mm in depth. On the left is far more extensive, surrounding the entire hemisphere, also seen layering over the tentorium and falx, but generally measures only up to 6 mm in depth. There is limited mass effect, with no midline shift and no transtentorial herniation. The posterior fossa is unremarkable.
Patchy white matter changes seen throughout the white matter of both hemispheres, non-specific but most likely representing the sequelae of chronic small vessel ischaemic change. The ventricles are smaller than expected, no doubt compressed to a degree by the aforementioned subdural haemorrhages. Focal region of inflammation involves the left cerebellar hemisphere consistent with previous infarct. No acute infarction evident. No skull fracture evident.