42 years Male (DOB:9/29/1974)Reason: Brain lesion, stroke History: altered mental status, fevers, seizuresPROVIDER/ATTENDING NAME: JOHN P. KRESS The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mucosal thickening and some inspissated secretions in the left sphenoid sinus. The visualized portions of the mastoid air cells demonstrate opacities bilaterally. The visualized portions of the orbits are intact.
1.There is no evidence for acute ischemic cerebral infarction.2.There is no evidence for intracranial hemorrhage or mass.3.Retained secretions in the mastoid air cells are present. Possibility of underlying infection cannot be excluded.