Brain parenchyma: Encephalomalacia in the medial left occipital lobe appears unchanged, likely reflecting sequelae of remote infarct. No acute hemorrhage, infarction, mass, or abnormal enhancement. Confluent T2 hyperintense lesions are present in the white matter.
Ventricles and extra-axial spaces: Appropriate for age.
Additional comment: None.
1. Extensive heterogeneous enhancement of the nasopharyngeal soft tissues and clivus with extension to the right internal jugular foramen. No evidence of filling defect to suggest thrombosis in this vessel. Minimal enhancement of the dura adjacent to the clivus. Overall findings are highly concerning for soft tissue infection and osteomyelitis. No evidence of drainable fluid collection.