12-year-old male in auto accident with loss of consciousness Calvarium remains within normal limits and no evidence of posttraumatic fracture. Mastoid air cells are well pneumatized and unremarkable. Limited view of the paranasal sinuses demonstrates complete opacification of left chamber of the sphenoid sinus with no bony fracture which is believed to represent chronic sinus disease.Images through intracranial space demonstrates no evidence of post traumatic findings in particular no evidence of intra-axial or extra-axial hemorrhage is detected. No definitive evidence of edema is present. There is however multiple periventricular and subcortical area of low attenuation which appear old. These findings are suspicious for multiple foci of encephalomalacia which are nonspecific however differentials includes demyelinating disease, multiple areas of encephalomalacia from a prior infectious process or ischemic. There is no evidence of any abnormal intracranial calcification. There are no old films available for comparison. Further evaluation with a dedicated MRI is recommended.
1.No definitive evidence of any post traumatic findings intracranially or of the calvarium.2.Multiple small foci of low attenuation which appear old and needs further evaluation with a dedicated MRI of brain. Please see above comments.