Progress report
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Here is the Progress Report based on both CT scan videos:
Radiology Progress Report
Patient: RANGANATH N
Patient ID: BBH-R18035 / BBHR118035
DOB: 07/12–17/1965 | Age: 58 Years | Sex: Male
Hospital: Blue Bliss Hospital | Referring Clinician: Dr. V R Raju
Modality: CT Brain (Plain Study) | Scanner: Siemens SOMATOM go.Now
Study 1 - Baseline CT Brain (Bone Window)
Date: 17 July 2023
Protocol: Brain Plain 2.00 H40 - 2.0 mm slices, 130 kV, 220 mAs
Window: Bone window (W/L optimized for osseous structures)
Findings:
- Calvarium intact; no fractures identified
- Cranial sutures (coronal, sagittal, lambdoid) appear normal
- Frontal sinuses, mastoid air cells, maxillary sinuses, and sphenoid sinus are patent and aerated
- Nasal cavity and orbits unremarkable
- Upper cervical spine (C1/C2) visible at the lower extent of the scan - no bony abnormality detected
- No acute bony pathology identified on this study
Study 2 - Follow-up CT Brain (Brain Window)
Date: 02 July 2024 (approximately 11 months and 2 weeks after baseline)
Protocol: Brain Plain 5.00 H30S - 5.0 mm slices, 130 kV, 152 eff. mAs
Window: Standard brain window (W 80 / L 35)
Findings:
- Cerebral sulci and gyri visible; cortical architecture preserved at the vertex
- KEY FINDING: A prominent hyperdense (bright white) lesion is present in the posterior right hemisphere, with extension into the posterior horn of the right lateral ventricle
- Appearance is consistent with acute/subacute intracerebral hemorrhage (ICH) with intraventricular extension (IVH)
- Cerebellum, orbits, and skull base appear grossly intact on the visualized slices
Summary / Impression
| Parameter | Baseline (Jul 2023) | Follow-up (Jul 2024) |
|---|---|---|
| Study type | Non-contrast CT, bone window | Non-contrast CT, brain window |
| Slice thickness | 2.0 mm | 5.0 mm |
| Brain parenchyma | Not optimally assessed (bone window) | Hemorrhage identified |
| Bony structures | Intact, no fracture | Not specifically evaluated |
| Key finding | No acute abnormality | Right posterior ICH with IVH |
Clinical Impression: Compared to the baseline bone-window study of July 2023, the follow-up brain-window CT of July 2024 demonstrates a new right hemispheric intracerebral hemorrhage with intraventricular extension - a significant interval change. Urgent neurosurgical and/or neurology review is warranted if not already under way.
Report compiled from video review on 19 July 2026. This is an AI-assisted summary and should be verified by a qualified radiologist before clinical use.
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