My clinical rotation this semester is going great. There are a lot of different exams that I am able to see. It is nice being back in CT since I haven’t worked in CT for over a year. I am glad a lot of what I knew is coming back to me. I never want to lose the experience. One interesting case was a 76 year old male that came thru the ER. He was unresponsive and had bottomed out vital signs. We did the routine CT head without contrast and this is what the scanned showed.
A large intraparenchymal hemorrhage involves the right frontotemporal lobe with extension into the ventricular system. The hemorrhage measures approximately 8.5 cm in maximum dimension. There is significant surrounding edema and mass effect. There is approximately 12 mm of right to left midline shift. There is complete effacement of the right lateral ventricle. Hemorrhage was seen extending into the lateral third and fourth ventricles.
A large intraparenchymal hemorrhage involves the right frontotemporal lobe with extension into the ventricular system. The hemorrhage measures approximately 8.5 cm in maximum dimension. There is significant surrounding edema and mass effect. There is approximately 12 mm of right to left midline shift. There is complete effacement of the right lateral ventricle. Hemorrhage was seen extending into the lateral third and fourth ventricles.
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