Clinical question: Rule-out acute intracranial hemorrhage. Signs and symptoms: Headaches Unenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation is within normal limits.Area of calcification within the left sylvian fissure measuring 10-mm in AP access and 7.5-mm in transverse axis on axial image 9 and approximately 15 mm in AP access and 6-mm in prandial -- cephalad access on the sagittal reformatted image 11. This finding has the appearance of a heavy vascular calcification. Recommend follow-up with an MRI.
1.No evidence of acute intracranial findings.2.Heavy calcification within the left sylvian fissure as described above likely a vascular calcification.3.Unremarkable exam otherwise for brain parenchyma and the calvarium.