16th August 2024

A patient well known to the medical team is brought to hospital following a seizure

A patient well known to the medical team is brought to hospital following a seizure. He is a 57-year-old man with a history of alcohol misuse, who has attended many times with alcohol withdrawal, falls following intoxication, and injuries following altercations.

He is accompanied by the warden from his sheltered accommodation who reports that he had a fall yesterday over some loose paving in the garden but did not report any injuries so medical attention was not sought. He is adamant that the patient has not had any alcohol to drink in several months and reports that he has been well in himself recently.

On examination, his GCS is 9, E2V3M4. You note bruising on the left side of his head.

Which single brain imaging finding would be least consistent with the clinical scenario described?

Select the SINGLE most appropriate option from the list below. Select ONE option only.