If it's completely full, or the headspace is filled with CO2, it's fine, just shake or roll it, and purge it out. That keg is thoroughly sanitized!
If it's not completely full and there's air (not CO2) in the headspace, I would open it up and use a piece of a white paper towel to wipe the inside of the headspace, sides, under the dome, and the inside of the lid. If there's any gray/black residue on it, it's likely mildew, and needs cleaning.
Reason is, I've had (black) mildew spots form on the bottom of plastic lids covering Starsan buckets, due to condensation. It takes about a month (or longer), a dark environment, and air/oxygen to grow mildew. Faster in warmer environments, like in a hot garage.
Best way to avoid mildew from growing, rinse off with Starsan or shake/roll the keg more regularly.