67-year-old male with history of 8-foot fall complaining of headache, loss of consciousness. Rule out hemorrhage or cervical fracture. In the right high parietal convexity, seen in image 27/36, is a high density focus within the cortex. Inferior to this, on image 21/36 there is an additional focus of high density which could lie on the surface of the cortex or be within the subarachnoid space. These findings are likely cortical hemorrhage given the history. Continued follow up is recommended, and MRI may be helpful. No associated extra-axial hemorrhage. Otherwise, there is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.CERVICAL SPINE
1. Focal cortical high density is likely hemorrhage given the history (though calcification could potentially have this appearance). Additional small focus of high density inferior to this could be with in the subarachnoid space or in the surface of the cortex. Continued follow-up is recommended, and MRI should be considered.2. Unremarkable examination of the cervical spine.