Fall. Loss of consciousness. Head laceration. Question bleed. There is no evidence of intracranial hemorrhage, edema, or midline shift. In the intrahemispheric aspect of the right parietal lobe there is either an area of encephalomalacia or a cyst with a thick wall of calcification. An MRI is recommended to exclude the possibility of a dermoid. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal without evidence of fracture. Soft tissue irregularity and subcutaneous emphysema are present in the left frontal region consistent with the history of laceration. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Soft tissue injury without evidence of fracture.2. Encephalomalacia versus cystic structure with thick wall of calcification in the right parietal lobe. An MRI is recommended for further evaluation to exclude the possibility of a dermoid.