Reason: evaluate for etiology of headache and anosmia History: headaches, anosmia based on smell identification test 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 and demonstrate minor scattered opacities mainly in the right frontal sinus and right ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.MRI of the brain is within normal limits. There are some minor opacities in the ethmoid air cells and right frontal sinus. In theory these could suggest that the patient's symptoms of anosmia and may be related to paranasal sinus inflammation.