CT Brain Temp (location)

Normal CT Brain NC

ER

FINDINGS:

  • Cerebral parenchyma: The study reveals __________. Normal parenchymal attenuation and grey-white differentiation. The rest of imaged cerebral parenchyma appears unremarkable. No acute large territorial infarction or intraparenchymal hemorrhage is identified.
  • Cerebellum and posterior fossa: Normal given a limited evaluation of the brainstem due to beam-hardening artifacts. The cerebellums appears unremarkable.
  • Extraaxial spaces: No extra-axial collection is observed.
  • Ventricles: Normal size of the ventricular system. No intraventricular hemorrhage.
  • Midline shift: None.
  • Brain herniation: None.
  • Vascular system: Normal.
  • Calvarium and scalp: No fracture is identified.
  • Skull base, sella and temporomandibular joints (TMJs): Normal.
  • Visualized orbits, paranasal sinuses and mastoid air cells: Normal.
  • Visualized upper cervical spine: No fracture identified.

Ward

EMERGENCY MDCT SCAN OF THE BRAIN

History:

Technique: Plain axial MDCT scan of the brain was performed with 3.0 mm slice thickness contiguously with multiplanar reformations.

Findings:

(Brain volume) The study reveals __________.

(The Rest)

  • The rest of imaged cerebral parenchyma shows normal parenchymal attenuation and grey-white differentiation.

  • No acute intracranial hemorrhage or acute large territorial infarction is identified

  • The rest of the brainstem and cerebellum appears unremarkable, given a limited evaluation of the brainstem and cerebellum due to beam-hardening artifact.

  • The rest of visualized both orbits, paranasal sinuses, mastoid air cells, nasopharynx, skull base, and calvarium appear unremarkable.

Cerebral parenchyma

Normal Brain Vol.

The study reveals

  • normal brain volume.
  • age-appropriate brain volume.

Brain Vol. loss

The study reveals:

[Diffuse | Generalized] brain volume loss, (most pronounced at ___)

  • (+) appropriate for age
  • (+) advanced more than age

with normal gray-white differentiation of the brain parenchyma.

Posterior fossa

Vascular system

Athero

Vascular system: [Mild | Moderate | Severe] atherosclerotic change of the

  • (bilateral) (intracranial) ICAs
  • vertebrobasilar system

Calvarium and scalp

Calvarium and scalp: Soft tissue swelling/contusion at ___ regions.

IMPRESSION:

  • Soft tissue swelling/contusion at the ___ regions.

Skull base/ sella / TMJ

Skull base, sella and temporomandibular joints (TMJs): Unremarkable.

Sinuses / Air cells

The Rest is OK

The rest of the imaged paranasal sinuses, both mastoid air cells, both orbits and nasopharynx are unremarkable.

Mucosa thickening

Visualized orbits, paranasal sinuses and mastoid air cells: [Mild | Moderate | Severe] mucosal thickening

  • (if inspissated content) with hyperdense content

  • (if chronic sinusitis) [mild | moderate | severe] sclerotic bone change

[of | involving] ___ sinus

IMPRESSION:

  • Mild = Don’t mention

  • Chronic left ___ sinusitis with inspissated content and/or fungal colonization.

Air-fluid Lv

Visualized orbits, paranasal sinuses and mastoid air cells: Air-fluid level with internal bubbles at ___ sinus.

IMPRESSION:

  • Air-fluid level with internal bubbles at ___ sinus, possibly acute right sphenoid sinusitis.

Mucous retention cysts

Visualized orbits, paranasal sinuses and mastoid air cells: (Few) mucous retention cysts within the ___ sinus

Hypoplasia

Hypoplasia of ___ sinuses / air cells,

Hypopneumatize

Hypopneumatization of the ___ frontal sinus.

Orbit

Lens Extraction

{side} = [Bilateral | lt | rt]

  • {side} len(s) extraction is observed.

  • Evidence of {side} lens extraction.

EAC

Ear pluck

  • Soft tissue lesion in ___ EAC, probably impacted cerumen or ear wax.