Subacute subdural haematoma
Patient complained of confusion and headache.. no history of major trauma..
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A subdural haemorrhage (SDH) results from collection of blood between the dura and arachnoid mater of the meninges around the brain.
In its subacute stage, a subdural hematoma will be isodense to grey matter, making it hard to be differentiated from brain parenchyma for the untrained eye..
How to spot it??
look for mass effect, like in this case; the compression of right lateral ventricle and medial shift of grey / white matter interface on right side..
Don't forget: subdural hematoma is much more common in old age and needs no major trauma, subtle trauma will suffice..