Diagnosis: Other specified diseases of inner ear, unspecified ear Other symptoms and signs involving the nervous systemClinical question: dizziness, balance difficulties, assess for acoustic neuroma, vascular abnormalities, masses/lesions 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 demonstrate some mucosal thickening in the right maxillary sinus and a minor mucous retention cyst in the left maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
MRI of the brain is within normal limits. No intracranial mass is appreciated. There is no evidence for cerebral infarction.