Clinical question: Rule out structural abnormality. Signs and symptoms: Papilledema and headache. Pre and post enhanced brain MRI:There is no acute intracranial process and diffusion weighted images are negative.There is normal anatomical morphology of brain parenchyma and normal signal intensity on all MRI sequences. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Post contrast images fail to demonstrate any abnormal parenchymal or leptomeningeal enhancement. There is also no detectable abnormal enhancement of calvarium, soft tissues of the scalp, orbits or the paranasal sinuses.All mastoid air cells and bilateral middle ear cavities as well as paranasal sinuses demonstrate normal pneumatization signal pattern.
Unremarkable pre and post enhanced brain MRI.