Unresponsive Non-enhanced CT of brain:Examination demonstrate a left parietal craniectomy. There is a large area of encephalomalacia involving the left posterior frontal -- parietal region under the craniectomy site.There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. There is ex vacuo dilatation of left lateral ventricle adjacent to the above described foci of encephalomalacia. The gray -- white matter differentiation is preserved. Calvarium is intact. Visualized paranasal sinuses and mastoid air cells are unremarkable. The provided clinical data low follow-up with an MRI is recommended.
1.No evidence of the acute intracranial process.2.Left parietal craniectomy and underlying parenchymal encephalomalacia of unknown etiology.3.Unremarkable calvarium otherwise and normal visualized paranasal sinuses and mastoid air cells.