Right sided hand and arm weakness, intermittent; h/o fungal sinusitis. There are postoperative findings related to osteoplastic flap reconstruction of the frontal sinuses and endoscopic sinus surgery with resection of the uncinate processes and middle turbinates. There is predominantly low T1 and high T2 signal material within the bilateral frontal sinuses. There is also mild mucosal thickening within the anterior right ethmoid sinuses and subcentimeter retention cysts in the right maxillary sinus and right sphenoethmoid recess. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
1. Postoperative findings related to osteoplastic flap reconstruction of the frontal sinuses with what appear to be persistent obstructed secretions in the bilateral frontal sinuses, but no intracranial extension.2. No evidence of acute infarct or intracranial mass.