I request for a second opinion of my CT scan.I suspect a possible brain hemorrhage.

Question

Hello doctor,

I am 29 years old.

CT scan came up negative for problems associated with infection. I request for second opinion for possible hemorrhage/brain aneurysm or complications due to infection. I have attached the reports.

Associated Problems: Tooth abscess.

Symptoms: Light headedness, severe migraine, ice pick stabs on top of my head and a feeling of something running on top of my head.

Note: I went to emergency room and was denied treatment due to the diagnosis of 'routine headache' and then discharged.

Answer 1

Hi,

Welcome to icliniq.com.

I have read through your query in detail and have seen the reports. (attachment removed to protect patient identity)

The CT scan images have been acquired with a good machine and the images are clear.

There is no reason to suspect any hemorrhage, aneurysm or infection in your brain.

Your brain is normal for a 29 year old.

There is no sign of the tooth abscess causing any infection in the brain.

The following will confirm it as normal.

Report Findings:

The brain parenchyma is normal in attenuation.

The gyri and sulci are normal.

The ventricles and cisterns are normal.

The basal ganglia and thalamus are normal bilaterally.

Posterior fossa is normal with normal cerebellum and fourth ventricle.

Bony cranium is normal.

No obvious intracranial hemorrhage or extra-axial collection noted.

Visualized soft tissues are normal.

Impression:

Normal CT scan study of brain.

It is possible that your headache is due to irritation of the trigeminal nerve that supplies the skin in the head and face region.

Hope this answers your question.

Revert back to a radiologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/radiologist