46 years Female (DOB:11/23/1970)Reason: headaches and generalized muscle twitches, rule out masses or Arnold Chiari History: headaches and generalized muscle twitches, rule out masses or Arnold ChiariPROVIDER/ATTENDING NAME: THOMAS J. KELLY THOMAS J. KELLY 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.
No evidence for intracranial mass lesion or Chiari malformation. MRI of the brain is within normal limits.