Diagnosis: Migraine without aura, without mention of intractable migraine without mention of status migrainosusClinical question: evaluation for daily headache possible etiology 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. Incidental note is made of a small developmental venous anomaly in the right cerebellar hemisphere.The visualized portions of the paranasal sinuses demonstrate some mild mucosal thickening in the right maxillary sinus. 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. No intracranial mass lesions are appreciated to account for the patient's headaches.2.Mild mucosal thickening in the right maxillary sinus is likely inflammatory in nature.