Clinical question to be answered: Rule out intracranial hemorrhage and airway impingement. Signs and symptoms shortness of breath and anisocoria CT of brain without infusionnotice of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Calvarium remains intact. Examination remains is stable since prior study.Irregular high density material overlapping the cortex of right high convexity frontal -- parietal lobe is nonspecific and was present on the prior exam. There is no evidence of associated edema with this finding. Further evaluation with an MRI is recommended.CT of the soft tissues of the neck.Images through the skull base demonstrate no evidence of destructive lesions. Irregular shape of the left globe with internal calcification is redemonstrated with no interval change since prior exam.Minimal chronic sinus disease.Extensive opacification of left mastoid air cells remains stable since prior study. This finding is not associated with any bony changes.Lack of contrast infusion makes precise evaluation of the soft tissues difficult however within this limitation no definitive evidence of a mass is identified. Three visualization of multiple cervical lymph nodes. Endotracheal tube is identified.Images through the apices of the lungs demonstrate extensive pleural effusion. Please review the dictated report of chest x-ray performed the same date. Bony structures of the area of exam remains unremarkable.
1.Stable CT examination of brain without infusion. Not a specific cortical calcification in the right parietal with no interval change.2.Endotracheal tube noted on CT of the neck. Extensive pleural effusion.