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The 181 headshot damage with the Ghost shown in your combat report is likely due to damage amplification from a recent update or ability interaction, such as Viper's Decay mechanic. When Viper's abilities apply decay to you, your maximum health temporarily reduces, causing any damage you take to appear higher than usual.
In your case, it seems you were under the effect of Viper's Decay, which reduced your effective health, making the headshot damage appear as 181. This is a known mechanic and not a bug.
For official details and updates, you can always check Riot Games support.
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