And clinical question: Fall, on Lovenox. Signs and symptoms: Headaches No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and all CSF cisterns remain within normal. No evidence of intracranial post traumatic finding.Multiple well demarcated lytic lesions of skull are noted. These lesions are well demarcated and demonstrate internal trabeculation. Findings are believed to a multiple skeletal capillary hemangiomas. MRI examination of brain from 10 -- 24 -- 2009 demonstrated several of these lesions.The less likely possibility of metastatic disease however cannot be entirely ruled out.Small hematoma in the right posterior high convexity parietal region is identified on axial image 25.Mastoid air cells, middle ear cavities and limited view of paranasal sinuses are unremarkable.
1.No evidence of intracranial post traumatic findings.2.Multiple well-demarcated and entirely intraosseous lytic skull lesions with internal trabeculation is believed to represent hemangiomas. Less likely possibility of metastatic lesion however cannot be entirely ruled out.3.Right posterior parietal scalp hematoma.