15-year-old male status post blunt head trauma with loss of consciousness. Evaluate for intracranial hemorrhage. Preseptal and periorbital soft tissue swelling on the left. Minimal fat stranding of the retro-orbital fat on the left appear stable. If further evaluation is clinically warranted, an MRI is suggested. The globe appears normal in morphology and density in the anterior and posterior chambers. Extraocular muscles appear intact. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.There is soft tissue swelling overlying the left orbit. There is minimal opacification of bilateral maxillary sinuses. The calvaria and skull base are radiographically normal. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Preseptal and periorbital soft tissue edema on the left with minimal fat stranding a left retro-orbital fat unchanged from prior exam. If further evaluation is clinically warranted, an MRI may be obtained.