60-year-old female on heparin and eptifibatide drips with an INR of 2.1, presenting with headache. No evidence of intracranial hemorrhage, edema, mass, midline shift or hydrocephalus. Nonspecific small right frontal hypodensity. Left frontal hypodensity is likely post-traumatic change but very nonspecific. If further evaluation is clinically warranted, MRI is recommended for further characterization.The ventricles and basal cisterns are unremarkable in size and configuration.The calvaria and skull base are radiographically unremarkable. Visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. No evidence for acute intracranial hemorrhage.2. Left frontal hypodensity along the orbital gyrus is is nonspecific. Although location raises the question of trauma, additional considerations include edema due to other causes such as neoplasm or infarction. If further evaluation is clinically warranted, MRI is recommended for further characterization.