42 year-old female with breast cancer. Syncope with loss of consciousness. Hit head. There is no evidence of intracranial hemorrhage, edema or midline shift. No definite evidence of metastatic involvement. However, an MRI would better evaluate for metastases.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal without evidence of fracture. There is a small air-fluid level in the sphenoid sinus. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Minimal inflammatory sinus disease, otherwise unremarkable brain CT. MRI would better evaluate for metastatic involvement.