X-Ray Skull - AP View (PA/Caldwell-like Projection)

RADIOLOGICAL REPORT

SYSTEMATIC FINDINGS

• The outer and inner tables are intact with no visible step-off, depression, or linear lucency to suggest a fracture.
• Calvarial thickness is normal.
• No lytic or sclerotic bony lesions are identified.
• No "hair-on-end" or "beaten copper" trabecular pattern.

• Coronal and sagittal sutures are visible and within normal limits for age.
• No diastasis of sutures.
• No premature sutural fusion (craniosynostosis).

• The pituitary fossa (sella turcica) is not directly well-assessed on this projection; a lateral view would be required.
• No abnormal intracranial calcifications are identified (no pineal, choroid plexus, or pathological calcifications visible on this view).

• Both orbital rims appear intact and symmetric.
• No orbital wall disruption or "teardrop" sign to suggest orbital floor fracture.

• The frontal sinuses are visible bilaterally and appear normally pneumatized with no opacification or air-fluid levels.
• The maxillary sinuses appear clear bilaterally.
• The ethmoid air cells appear within normal limits.
• No sinus wall disruption.

• Nasal septum appears midline.
• No gross nasal bone fracture identified on this view.

• The mandibular body and condyles are partially visualized.
• No obvious fracture or dislocation noted on this limited view.
• A small metallic density is noted at the midline of the mandible/anterior teeth region - likely a dental restoration (metallic filling or dental wire).

• No soft tissue swelling or subcutaneous emphysema visible.
• No foreign bodies identified (apart from the probable dental restoration noted).

IMPRESSION

• Intact calvarium with no fracture, lytic/sclerotic lesion, or sutural diastasis.
• Paranasal sinuses are clear; no opacification or air-fluid levels.
• Orbits are symmetric with no evidence of fracture.
• Small metallic density at the anterior mandible - consistent with a dental restoration (incidental finding).

RECOMMENDATION

• A lateral skull view (already requested per "AP/LAT" label) should be correlated to assess the sella turcica, frontal/parietal/occipital bones in profile, and posterior fossa.
• If clinical concern for facial fractures exists, a dedicated CT face/head is the investigation of choice for superior sensitivity.
• Correlate with clinical history and neurological examination.

Note: This report is based on image analysis only. Final interpretation must be made by a qualified radiologist in the context of the patient's full clinical history.