Altered mental status. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is perhaps mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. There are retention cysts in the sphenoid sinuses. There is fluid within the mastoid air cells, left more than right. The orbits are grossly unremarkable. The calvarial bone marrow appears to be heterogeneous. There is an ovoid T2 hyperintense lesion in the right lateral periorbital subcutaneous tissues that measures up to 12 mm and may represent an inclusion cyst.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Fluid within the mastoid air cells, left more than right may represent mastoiditis. 3. The calvarial bone marrow appears to be heterogeneous, which is nonspecific. 