Clinical question: Daily and nocturnal headaches. Evaluate suspected right frontal lipoma. Signs and symptoms: As above. Pre-and post-enhanced brain MRI:No diffusion weighted abnormalities.Examination demonstrates normal anatomical variation all cavum septum pellucidum and Vergae without change since prior exam. The anatomical morphology and the signal intensity of the brain parenchyma otherwise remains within normal on all MRI sequences. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Negative post enhanced images.Unremarkable images through the orbits and including axial fat sat post enhanced series.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal pattern.Calvarium demonstrate a punctate focus of fatty signal intensity within the marrow space in the right frontal skull without change since prior exam or any clinical significance.
1.No detectable acute intracranial process.2.Unremarkable pre-and post enhanced brain MRI and without change since prior exam.3.Tiny focus of fatty signal intensity within the right frontal skull without change since prior exam from 2010 and of no clinical significance.