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Interpret this ct scan

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Here is my detailed interpretation of this non-contrast CT head (NCCT brain):

CT Brain Interpretation - Patient: Minarul SK | Date: 06 Jun 2026

Study type: Non-contrast CT brain, axial series (multiple levels from skull base to vertex)

KEY FINDINGS

1. Hyperdense (Bright White) Lesion - Right Temporal/Temporoparietal Region

The most striking abnormality is a large hyperdense (bright white) collection visible in the right temporal/temporoparietal region, seen clearly on multiple mid-level axial cuts (rows 2-3 of the film). On a non-contrast CT, hyperdensity in this location represents acute blood.
This appears most consistent with an acute epidural hematoma (EDH) or a large intracerebral hemorrhage (ICH) with subdural extension. The biconvex (lenticular) morphology suggested by the peripheral location favors EDH, though confirmation requires careful slice-by-slice review.

2. Mass Effect

There is evidence of midline shift toward the left side, suggesting the right-sided hematoma is exerting significant pressure. This is a neurosurgical emergency.

3. Effacement of Sulci

On the right cerebral hemisphere, cortical sulci appear effaced (flattened) compared to the left, consistent with underlying mass effect and raised intracranial pressure (ICP).

4. Basal Cisterns

The basal cisterns (posterior fossa, row 1 and bottom rows) appear relatively preserved on lower cuts, though this should be assessed carefully at the level of the tentorium for signs of transtentorial herniation.

5. Posterior Fossa / Cerebellum

The posterior fossa slices (bottom rows of the film) show some asymmetry and possible hyperdensity in the right cerebellar/occipital region - this area is partially obscured and warrants careful evaluation on the original DICOM images.

6. No Obvious Infarct

No large hypodenisty (dark area) suggestive of acute ischemic stroke is visible, though early ischemia can be subtle on CT.

7. Calvarium / Skull

Bony windows are not well visualized in this photograph, but a skull fracture should be actively excluded (especially with EDH), as right temporal bone fractures are the classic association with middle meningeal artery rupture leading to EDH.

IMPRESSION

Acute right-sided intracranial hemorrhage, most likely epidural hematoma (EDH) - possibly with subdural or parenchymal component. Significant mass effect with likely midline shift. This is a neurosurgical emergency.

IMPORTANT CLINICAL NOTES

Disclaimer: This is an AI-assisted interpretation of a photograph of a CT film - not a formal radiological report. Image quality is reduced (glare artifact visible on rows 3-4) and this cannot substitute for a qualified radiologist or neurosurgeon reviewing the original DICOM images on proper viewing software.
Immediate actions warranted:
  • Urgent neurosurgical consultation
  • Assess GCS and pupillary responses immediately
  • Rule out skull fracture on bone window CT
  • Consider urgent evacuation if the patient has declining GCS, pupil asymmetry, or significant midline shift (>5 mm)
  • Manage ICP: head elevation 30°, avoid hypotension/hypoxia, consider mannitol/hypertonic saline pending neurosurgery review
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