 Please note, this is a limited exam due to patient motion.Frontal sinus: There is complete opacification of the bilateral frontal sinuses. Frontoethmoidal recesses are opacified. There is a small focus of restricted diffusion in the left paramedian frontal sinus consistent with hypercellular material, likely due to inspissated secretions.Anterior ethmoids: There is moderate to severe opacification of the anterior ethmoid air cells.Maxillary sinuses: There is complete opacification of the left maxillary sinus as well as partial opacification of the right maxillary sinus. The right ostiomeatal unit is partially opacified. The left ostiomeatal unit is opacified.Posterior ethmoids: There is moderate to severe opacification of the posterior ethmoid air cells.Sphenoid sinus: There is partial opacification of sphenoid sinuses. There is no nasal septal deviation. There are scattered secretions within the nasal cavity particularly in the middle meatus.The lamina papyracea are intact. The roof of the left ethmoid is slightly higher than the right.There is complete opacification of the bilateral mastoid air cells as well as opacification of the middle ears.The visualized portions of the brain parenchyma demonstrates prominent ventricular system as well as cortical sulci for a patient of this age, compatible with moderate to severe parenchymal volume loss.
1. Near complete opacification of the paranasal sinuses with small focus of restricted diffusion in the frontal sinus related to an area of hypercellularity, possibly inspissated secretions. Please correlate clinically for acute sinusitis.2. Severe opacification of bilateral mastoid air cells and middle ears. Please correlate clinically for symptoms related to otomastoiditis.3. Moderate to severe parenchymal volume loss.