62-year-old male with fall after biking. Outside hospital CT showed right temporal petechial hemorrhage There is no evidence of intracranial hemorrhage, mass, or acute infarct. A few scattered punctate foci of susceptibility are present throughout the right cerebral hemisphere including only one in the right anterior temporal pole and these are considered nonspecific. 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 and skull are unremarkable. Small right choroid plexus cyst. Edema and induration of the right supraorbital soft tissues is likely secondary to trauma. There is a focal T1 and T2 hypointesnse oval lesion in the premaxillary subcutaneous tissues of the right cheek immediately inferior to the right zygomatic arch with soft tissue swelling, which may represent an hematoma. Complete opacification of the right maxillary sinus.
1.No acute intracranial abnormality. Scattered nonspecific foci of susceptibility which may represent mineralization or trace hemosiderin deposition. No specific pattern to suggest traumatic axonal injury.2.Edema in the right supraorbital subcutaneous tissues and right premaxillary soft tissues, with subcutaneous oval area of abnormal signal in the right cheek which may represent a hematoma.3.Complete opacification of the right maxillary sinus.