 There is no acute intracranial hemorrhage or acute infarction. There is diffuse cerebral volume loss with prominent sulci and third and lateral the ventricles. There are jets of cerebrospinal fluid flow into the third and lateral ventricles. There is deep bilateral cerebellar hemisphere mineralization. There is no midline shift or mass effect. There is a chronic deformity of the left lateral wall of the maxillary sinus. The osseous structures are otherwise intact. The imaged contents of the paranasal sinuses and mastoid air cells are grossly unremarkable. There is deformity of the left zygomatic arch and posterior wall of the maxillary sinus.
1. No acute intracranial hemorrhage or acute infarction. 2. Diffuse cerebral volume loss. Superimposed normal pressure hydrocephalus is a potential consideration, nevertheless.3. Sequela of remote left zygomaticomaxillary complex fracture.