Male, 44 years old. Bilateral facial pain There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. No abnormal extra-axial fluid collection is identified. There is no midline shift or mass effect. The midline structures and craniocervical junction are within normal limits. There are no areas of abnormal signal. There is no abnormal parenchymal or leptomeningeal enhancement. There is no diffusion abnormality. The imaged cranial nerves appear normal. Specifically, the cisternal portions of the trigeminal nerves have normal morphology and signal, without pathologic enhancement. No large vessels approach or impingement on the nerves in this location. There are no focal masses or fluid collections. Normal flow-voids are demonstrated in the major intracranial vascular structures. There is minimal scattered paranasal sinus mucosal thickening. The visualized mastoid air cells are clear. There is mild staphylomatous deformation of the globes. Otherwise, the orbits are unremarkable.
Normal MR images of the brain without specific findings to account for the patient's symptoms.