66-year-old male with neutropenic fever. E. coli sepsis. Complains of headaches. Please evaluate for bleed or sinus infection. CT of brain without confusion.Subtle area of edema in the high convexity right frontal lobe involving cortex and subcortical white matter is noted. Further evaluated with an infused MRI examination is recommended to exclude possibly to an infectious process. This finding is best identified on axial images 21 to 24. No hemorrhage is associated with this finding. The above finding may represent a cortical stroke however considering provided clinical data an infectious process cannot be ruled out and an MRI is recommended.CT of maxillofacial.Minimal chronic sinus disease of bilateral maxillary sinuses are identified. Very minimal bilateral chronic ethmoid disease is also suspected. No evidence of air fluid level is present. The osteomeatal units of the maxillary sinuses are patent.
1.Focal area of cortical and subcortical white matter edema in high convexity right frontal as detailed above. Further evaluation with an MRI is recommended.2.Minimal chronic inflammatory sinus disease as detailed.