Nine-year-old male with new onset of chest pain, shortness of breath, lower extremity clonus, upward gaze. Non-verbal. There is no evidence of intracranial hemorrhage. No mass or midline shift is present. Gray-white differentiation is normal and cortical sulci are preserved.The ventricles and basal cisterns are normal in size and configuration. Slight prominence of the temporal horn of the left lateral ventricle may represent normal anatomic asymmetry -- however, given the patient's symptoms, further evaluation with MRI should be considered.The calvaria and skull base are radiographically normal. Minimal mucosal thickening is present in the sphenoid sinus and ethmoid air cells. The mastoid air cells and middle ear cavities are normal in appearance.
1. No CT findings of acute intracranial process.2. Slight asymmetry of temporal horns of lateral ventricles -- given reported symptoms, consider further evaluation with MRI.