Right tentorium cerebelli subdural haematoma
Inpatient with left-sided weakness (?stroke). Fall tonight - MET call for decreased GCS ?ICH.
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There is a 2.5 mm thick extra axial collection of high density material along the right tentorium cerebelli in keeping with subdural haematoma.
No evidence of intra-axial haemorrhage or acute large cortical territorial infarction. No skull fracture. There is extensive opacification of the right maxillary sinus with high density material in keeping with haematoma. Secretions in the nasal cavity and nasopharynx are shown.
There is a nasal bone fracture.
Acknowledgement: Dr Jan Gerstenmaier.
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This case demonstrates the importance of reviewing all the images available and the benefit of multiplanar imaging of the brain in the setting of trauma. On axial plane images the subdural haematoma is subtle but on is plainly evident on both the coronal and sagittal planes.