Signs and symptoms: 51-year-old male with right mouth droop. Clinical question: Right mouth through Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.Fairly acute strokes can be missed on nonenhanced head CT. Recommend follow with an MRI considering patient's presenting symptoms.Cortical sulci, ventricular system and all CSF cisterns remain within normal limits. The gray -- white matter differentiation remains normal.There is extensive opacification of left ethmoid air cells and significant rightward nasal septum deviation this limited view of paranasal sinuses.
Negative nonenhanced head CT. Considering provided clinical data recommend follow-up with an MRI.