Clinical question: Status post blunt head trauma.? Intracranial hemorrhage. Signs and symptoms: Fell from bed with blunt head trauma and 4 episodes of nausea and vomiting 7 hours later. Non-enhanced CT brain: There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Cortical sulci, CSF cisterns and ventricular system are essentially unremarkable. Sagittal reformatted images demonstrate minimal ectopia of the cerebellar tonsils. Follow-up with an MRI is recommended.Limited images of orbits are negative. Calvarium is intact. No definitive abnormality of the scalp is detected. Mastoid air cells and middle ear cavities are pneumatized and unremarkable.
1.No evidence of acute intracranial process.2.Minimally ectopic cerebellar tonsils. Followed with an MRI is recommended.3.Calvarium is intact.