9 months Female (DOB:6/4/2015)Reason: is there any evidence of tumor or aqueductal stenosis? History: child with NF1 and very large head but soft anterior fontanelle.PROVIDER/ATTENDING NAME: JAMES H. TONSGARD JAMES H. TONSGARD The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is no evidence for aqueduct stenosis or intracranial mass lesion. No stigmata for neurofibromatosis are appreciated on the current exam.