CT at the time of onset of intraventricular hemorrhage.

A-B: A space-occupying lesion in the trigone

of the left lateral ventricle was observed; it had a low-density cystic shadow in the middle (arrow). A
high-density calcification shadow was detected at the rear of the lesion, and the surrounding brain
tissues were mildly compressed. C: Hemorrhage surrounded the lesion and formed a hematoma,
which extended forward into the lateral ventricle, and the hemorrhage affected the third ventricle
(arrow). D: The hemorrhage also affected the fourth ventricle (arrow)
Fig. 10.3. CT imaging of space-occupying lesions, (a) Right extradural haematoma. Bleeding has
occurred within the potential epidural space and is usually associated with a fracture. The
expanding lesion has resulted in compression of the ipsilateral ventricle but no midline shift. In
addition, there is a contrecoup with evidence of haemorrhagic contusion within the left fronto-
temporal cortex. (b) Right subdural haematoma. Bleeding occurs between the arachnoid and inner
meningeal layer of the dura. There is also subdural blood tracking along the tentorium. (c) Large
left intracerebral haemorrhage with extension into the lateral ventricle secondary to brain
contusion. There is compression of the ipsilateral ventricle and midline shift. (d) Facial fractures
involving the frontal sinus. These are associated with frontal haemorrhagic contusions and
intracranial air. There is also a left occipital subdural haematoma but no midline shift.