New admission with focal neurology - left sided hemiparesis and neglect, gaze deviation to right, variable conscious level. Also pyrexial.
Acute onset of symptoms (witnessed by family), no recent history of falls or trauma.
Open wound over area of previous skull fracture.
The right parietal hyperdensity was managed as haemorrhage however with no overt history of trauma, but an exisiting skull fracture, antibiotic therapy was commenced for possible abscess formation.
An MRI was planned (with contrast and DWI sequences) to further characterise this, however the patient deteriorated and underwent further CT imaging.