There is mucoperiosteal thickening in the nasal cavity mainly on the right.

There is mucoperiosteal thickening in the right frontal, maxillary and ethmoid sinuses. There is no air fluid level in the frontal sinus and no soft tissue swelling anterior to the frontal sinus or in the soft tissues surrounding the maxillary sinuses.

There is no bone erosion or findings of a pre-existing mucocele.

There is a preseptal, periorbital, subperiosteal abscess along the right superior lateral orbital rim without evidence of significant intraconal or extraconal soft tissue swelling, or direct continuity with the sinus disease. The superior and inferior ophthalmic veins are not dilated or thrombosed. There is no evidence of any ocular complication or tension orbit.

There is a loculated epidural and possibly partial subdural abscess along the right frontal bone inner table. An epidural abscess spreads to the right side of the falx and then across it to the left. There is no bone erosion. There is no further spread within the dura of the falx.

There is evidence of thrombosis or thrombophlebitis manifest as abnormality somehow reaching the sigmoid sinus without obvious contiguous spread and from there spreading along veins to the epidural plexus at the cranial cervical junction and then to the venous system in the deep neck more on the right than the left producing extensive swelling in the paravertebral musculature much worse on the right than the left.

There is extensive and multifocal brain micro abscesses involving the right frontal lobe.

There is very extensive spread of this intracranial disease to the epidural space at the craniocervical junction and by way of veins into the deep soft tissues of the neck bilaterally producing marked enhancement of the paravertebral muscles bilaterally but more on the right than left.