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CECT HEAD RADIOLOGY REPORT

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CECT HEAD REPORT

STUDY PROTOCOL: Contrast-enhanced computed tomography (CECT) of the head was performed, with axial, coronal, and sagittal reconstructions obtained following intravenous contrast administration.

CLINICAL HISTORY: The patient underwent imaging for evaluation of neurological symptoms. No history of acute trauma provided.

FINDINGS:

  1. Brain Parenchyma:
    1. There are gliotic changes noted in the right parietal white matter.
    1. These gliotic areas appear as hypodense regions on non-contrast images.
    1. No associated mass effect, edema, or significant volume loss is observed.
  2. Post-Contrast Enhancement:
    1. No abnormal post-contrast enhancement is seen in the gliotic areas, ruling out active pathology such as tumor or infection.
    1. No evidence of abnormal contrast leakage, suggesting the absence of blood-brain barrier disruption.
  3. Ventricular System and Midline Structures:
    1. The ventricular system is normal in size and configuration with no signs of hydrocephalus.
    1. The midline structures are centrally positioned with no evidence of shift or herniation.
  4. Basal Ganglia, Thalami, and Brainstem:
    1. These structures appear unremarkable with preserved morphology and density.
  5. Cerebellum:
    1. The cerebellar hemispheres and vermis show no focal lesions or abnormalities.
  6. Cortical Sulci and Sylvian Fissures:
    1. The cortical sulci and Sylvian fissures are age-appropriate with no evidence of diffuse or localized atrophy.
  7. White Matter Changes:
    1. No periventricular or deep white matter hyperintensities suggestive of ischemic small vessel disease.
    1. No signs of demyelination, infarction, or acute ischemic changes.
  8. Extra-Axial Spaces and Meninges:
    1. No abnormal meningeal enhancement or thickening is detected.
    1. No evidence of subdural or epidural collections.
  9. Orbits, Paranasal Sinuses, and Skull Base:
    1. Orbits appear normal without evidence of mass or structural abnormality.
    1. Paranasal sinuses are well-aerated with no mucosal thickening or fluid levels.
    1. Skull base structures are intact with no lytic or sclerotic lesions.

IMPRESSION: CECT of the head reveals gliotic changes in the right parietal white matter without post-contrast enhancement, suggesting chronic gliosis likely due to previous ischemic, inflammatory, or traumatic insult. No evidence of an active lesion, mass effect, or acute pathology.

RECOMMENDATIONS:

  • Clinical correlation with prior imaging and medical history is advised to determine etiology.
  • MRI brain with FLAIR and diffusion-weighted imaging (DWI) may be considered for further characterization of gliotic changes if clinically indicated.

~Axrix Teleradiology
note: this report based on scan

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