Medical imaging camera head devices and methods are provided using light captured by an endoscope system or other medical scope or borescope. Afocal light from the scope is manipulated and split by a beamsplitter. At least one polarizing optical element manipulates the polarization properties of one or both of the beams. The resulting first and second beams are passed through focusing optics to different image sensor areas to produce images with different intensity. The resulting images are combined with high dynamic range techniques.