Acute mental status changes with right facial droop. There is no evidence of intracranial hemorrhage or midline shift. It is unclear if a hypodensity in the right occipital/cerebellar region is intra-axial or extra axial. An MRI is recommended for further evaluation of this lesion.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. There is opacification of a few ethmoid air cells. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized.These findings were discussed with Dr Harshal Sheth at the time of interpretation.
1. Hypodensity in the right occipital/cerebellar region may be intra-axial or extra axial. An MRI is recommended for further evaluation. 2. No definite acute findings.3. Minimal inflammatory sinus disease.