RIGHT
FRONTAL PETECHIAL HEMORRHAGIC CONTUSION
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Contusions may be
hemorrhagic or nonhemorrhagic. They are part of the spectrum of cranio-cerebral
trauma. Although there is no obvious mass effect, and there may not be
neurologic deficits solely due to the presence of this particular lesion,
there are usually areas of associated brain injury known as diffuse axonal
injury (DAI) which may account for more severe neurologic deficits. An
MRI will demonstrate more subtle anomalies which cannot be demonstrated
on CT scan examination.
RIGHT
FRONTAL HEMORRHAGIC CONTUSION.
View second image
The arrowhead points
to a punctate area of intraparenchymal hemorrhage which does not demonstrate
significant mass effect. Please note the symmetry of the frontal horns
of the lateral ventricles as well as the midline position of the third
ventricle. The Sylvian fissures are also well characterized bilaterally.
PROMINENT
CISTERNA MAGNA

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third image
This represents a
normal anatomic variant and should not be confused with pathology.