Presentation
Young female in hematology ward. Complains of headache. Apyrexic. Severe thrombocytopenia.
Patient Data
Thin left frontal subdural collection, with a maximum depth of 5mm. Iso to hypoattenuating with no high attenuation component.
No significant mass effect.
Normal mastoids and paranasal sinuses.
Patient recalled from ward for contrast scan
No enhancement of the thin left-sided subdural collection.
Case Discussion
Case offered to illustrate a relatively subtle subdural collection - when small and the attenuation is close to that of the normal brain, identification is more difficult, especially with no mass effect.
The differential would be; empyema, subacute subdural hematoma or a hygroma.
The lack of enhancement, attenuation of the subdural content and the clinical history would suggest a subacute subdural to be most likely.
Unable to process the form. Check for errors and try again.