Remote cerebellar haemorrhage

There is status post right frontal mesh cranioplasty with post surgical changes

Thin residual acute extra dural hemorrhage is again noted in right anterior basi frontal region measuring 0.5 cm in maximum thickness with tiny pneumocephalus

Patchy right cerebellar haemorrhage is noted with zebra sign suggestive of remote cerebellar haemorrhage, new since prior study.

Otherwise both the cerebral parenchyma demonstrates normal attenuation values. Bilateral capsuloganglionic region, thalami appear unremarkable. The brainstem appear unremarkable.

No evidence of significant mass effect or mid line shift.

Comminuted displaced fractures are again noted involving right anterior frontal calvarium, bilateral basi frontal calvarium , right orbital roof, supraorbital ridge, lamina papyracea, cribriform plate, walls of bilateral maxillary sinuses, orbital floors, right zygomatic arch arch, bilateral nasal bones. Bilateral frontal frontal, ethmoid, sphenoid, left maxillary hemosinus is again noted

No evidence of significant mass effect or mid line shift.