4-year-old male with a history of migraines. Evaluate for abnormal anatomical structures. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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. There is bilateral maxillary sinus mucosal thickening with question of right greater than left maxillary sinus air-fluid levels.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.Question of moderate-sized right greater than left maxillary sinus air-fluid levels. Correlate for symptoms of sinusitis.