CASE HISTORY/CLINIC:
58-year-old patient with head injury sustained about 3 months ago.


FINDINGS:
The T2-w and flair images show evidence of a homogeneous high signal sickel-shaped right-sided frontoparietal and left-sided frontal parafalcine structure. The lesion exceeds the cranial sutures and causes compression of the right lateral ventricle and mid-line shift to the left.
The fluid collection in the pre- and postcontrast T1-w is homogeneous and has a signal intensity similar to that of the gray matter and shows no contrast enhancement. Contrast enhancement of the Meninges.


DIAGNOSIS:
Right-sided frontoparietal as well as left-sided parafalcine subdural hematoma resulting in mid-line shift to the left and compression of the right lateral ventricle. Meningeal stimulation.



web resources:

1) ACR Learning file
2) MRI-Library