33 years Female (DOB:11/7/1982)Reason: r/o lesion in occipital region History: recurrent transient visual symptoms, h/o migrainePROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ 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 right transverse sinus is larger than left transverse sinus. There is signal hyperintensity on T2-weighted imaging within the junction of left transverse and sigmoid 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.
1.There is signal hyperintensity present within the junction of the left transverse and sigmoid sinuses. In isolation this is somewhat nonspecific. This could represent a large arachnoid granulation or early thrombus formation. There are no other associated findings. The possibility of a focal occlusion of this short segment with patency of the left transverse and sigmoid sinus elsewhere is raised. If clinically indicated venography side chest CTV or MRV of the brain may be helpful for further analysis.2.No intracranial mass lesions are appreciated to explain patient's headaches. 3.An email was sent to Dr Rubeiz.