Increased confusion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there is bilateral tympanomastoid fluid. There are also secretions in the nasal cavity.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Bilateral tympanomastoid fluid may represent otomastoiditis.