Burn with inhalational injury. Significant carbon monoxide levels. The brain demonstrates normal structure and signal. Specifically, there is no signal abnormality involving the globi pallidi. There is no abnormal diffusion restriction or susceptibility effect to suggest ischemia or hemorrhage. The major intracranial flow voids are present. There is no intracranial mass effect, midline shift, or herniation. There is mild prominence of the sulci compared to CT from 7/10/2015. Bone marrow signal is within normal limits.There is complete filling of the left maxillary sinus (with mucosal thickening and secretions). In the proper clinical setting, this may represent sinusitis. There is minimal nonspecific mucosal thickening in the sphenoid and right maxillary sinus. There is also minimal fluid in the mastoid air cells.
1. No parenchymal signal abnormalities to suggest toxic or ischemic brain injury.2. Direct comparison is limited however there appears to be increased prominence of the cortical sulci compared to outside CT from 7/10/2015. Finding is nonspecific but may be related to dehydration versus mild degree of cerebral edema on the prior study which has since resolved.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.