54 year old male with history of hypertension and alcohol use who presents after multiple falls. No head strike or LOC.
Patient with recent admission for s/p TBI with left SDH and bifrontal contusions with displacement of prior L occipital
fracture.
Findings:
New hyper-density in the left transverse and sigmoid sinus concerning for thrombus. Recommend CTV or MR brain w/wo
Mixed density left holo-hemispheric subdural hematoma is unchanged with unchanged 3mm rightward shift
Non-displaced left temporal bone fracture with otic capsule involvement.
Clivus and occipital bone fractures
DDx: Arachnoid granulations, asymmetric anatomy
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