Clinical question: Evaluate for strokeSigns and Symptoms: Right hemibody numbness and right extremity weakness. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate opacification of the right maxillary sinus and mucosal thickening .in the reset of the paranasal sinuses The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.No evidence for intracranial mass or cerebral infarction.2.Opacification of paranasal sinuses is most likely inflammatory in nature.