Bilateral Subacute Subdural Hematoma

  • These are bilateral and are isodense with the brain because of gradual loss of density of blood.
  • On close exam you see that the sulcal markings do not reach the surface of the skull, due to the intervening subdural collection.
  • Arrowheads point to subdurals separating the brain surface markings from the skull.
  • There is no midline shift.