Skull X-Ray Radiological Report

Radiological Findings

• Calvarium bone density and architecture are within normal limits for age
• No focal lytic ("punched-out") lesions suggestive of multiple myeloma or metastatic disease
• No osteoblastic lesions
• No linear, diastatic, or depressed skull fractures identified
• Cranial sutures (sagittal, coronal, lambdoid) appear normal and appropriately fused for age
• Normal vascular grooves visible - not to be confused with fractures
• Orbital margins and zygomatic arches appear symmetric and intact
• Nasal septum grossly midline
• Frontal sinuses appear normally aerated
• Soft tissues unremarkable; no scalp swelling or subcutaneous emphysema

• Inner and outer tables of the skull vault intact; no depressed or linear fracture
• No classic punched-out lytic lesions; no osteoblastic lesions
• Sella turcica - normal in size, shape, and configuration; anterior and posterior clinoid processes intact; no evidence of erosion or enlargement suggesting a pituitary mass
• Paranasal sinuses (frontal, sphenoid, maxillary) appear normally pneumatized; no air-fluid levels or gross mucosal thickening
• Cervical spine (C1-C5 visible): Mild straightening/loss of cervical lordosis (likely positional or muscle spasm); mild anterior osteophyte formation consistent with age-related degenerative changes; no gross subluxation or acute fracture
• Prevertebral soft tissues within normal limits

Impression

• No skull fractures (linear, depressed, or diastatic)
• No focal lytic or sclerotic lesions
• Normal sella turcica
• Age-appropriate mild cervical degenerative changes

Recommendations

• Trauma - a non-contrast CT head is the gold standard to exclude intracranial hemorrhage and subtle fractures
• Headache, neurological symptoms, or suspected mass lesion - MRI brain is preferred
• Suspected skull base or facial bone pathology - CT with bone windows is indicated

This analysis is for informational/educational purposes. A formal radiologist report and clinical correlation are required for definitive diagnosis and management.