Confusion and disorientation. Evaluate for ischemic infarct. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. Incidental note is a prominent air-filled space inferomedial to the right orbit with some displacement on the ostiomeatal complex although this remains patent. This may be a large Haller cell. CT would provide more information if clinically warranted. Note is also made of a partial empty sella.
1.No evidence of intracranial hemorrhage, mass, or acute infarct.2.Incidentally noted prominent air-filled space inferomedial to the right orbit which may represent a large Haller cell. CT would provide more information if clinically warranted.