Pneumocephalus with gas-fluid level

Case contributed by Narek Matinyan , 17 Mar 2018
Diagnosis certain
Changed by Daniel J Bell, 23 Mar 2018

Updates to Case Attributes

Title was changed:
Pneumocephalus with airgas-fluid level
Status changed from pending review to published (public).
Published At was set to .
Body was changed:

The patient was in a car accidentmotor vehicle collision 15 years ago but did not attend hospital. During these years she did not undergo any diagnostic examinationsimaging either. MRI examination showed a collection of gas (air) and fluid in the right hemisphere, which is presumed to be a chronic process due to the absence of the surrounding edemaoedema. The CT scan showed a fracture of the right ethmoid wall and the medial wall of the right orbit, which is the likely entry if site of the gas. 

  • -<p>The patient was in a car accident 15 years ago but did not attend hospital. During these years she did not undergo any diagnostic examinations either. MRI examination showed a collection of gas (air) and fluid in the right hemisphere, which is presumed to be a chronic process due to the absence of the surrounding edema. The CT scan showed a fracture of the ethmoid wall and the medial wall of the right orbit, which is the likely entry if site of gas. </p>
  • +<p>The patient was in a motor vehicle collision 15 years ago but did not attend hospital. During these years she did not undergo any imaging either. MRI examination showed a collection of gas and fluid in the right hemisphere, which is presumed to be a chronic process due to the absence of surrounding oedema. The CT scan showed a fracture of the right ethmoid wall and the medial wall of the right orbit, which is the likely entry site of the gas. </p>

Updates to Study Attributes

Findings was changed:

There is a collection of air (gas)gas and fluid in the right hemisphere of the brain. The area of hypointense MR signal on T2 WI in the right frontal lobe is due to the presence of gas (air). The area of hyperintense MR signal on T2 WI in the right frontal and parietal lobes is due to fluid collection. There are no signs of surrounding edemaoedema

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