A large ( 3.1 x 6.5 cm ) right temporal intraparenchymal haematoma with surrounding oedema is again demonstrated. Absence of flow in the right transverse, sigmoid and imaged superior internal jugular vein is again demonstrated in keeping with venous sinus thrombosis. Interpretation of the diffusion restriction images is limited by the haematoma however the area of infarction does not appear to extend beyond the haematoma.
Conclusion:
Right transverse and sigmoid venous sinus thrombosis with associated venous infarct and haemorrhage again demonstrated.