13-year-old boy with history of AML low status post transplant, now with fever and altered mental status. There has been increase of the extensive mucosal thickening and fluid in the the ethmoid air cells, left frontal, bilateral maxillary, and sphenoid sinuses, although fluid within the sphenoid sinuses have diminished. There is fluid within the bilateral middle ears and mastoid air cells. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Findings compatible with acute sinusitis, but no evidence of associated complications.2. Nonspecific bilateral otomastoid fluid.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.