 BRAIN MRI: There are postoperative findings related to frontal craniotomy without evidence of residual or recurrent fluid collections. There is no acute infarct, abnormal intracranial enhancement, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is moderate mucosal thickening in the bilateral frontal and right maxillary sinuses. There is trace left maxillary sinus mucosal thickening. The mastoid air cells are clear. There are unchanged prominent adenoids.BRAIN MRV: There is unchanged lack of flow related enhancement in the left superior ophthalmic vein. There is a hypoplastic left transverse sinus. There is no venous sinus thrombosis.ORBITS: There is unchanged lack of flow-related enhancement in the left superior ophthalmic vein. There may be minimal scar tissue in the right superotemporal orbit. The ocular adnexa otherwise appear unremarkable. There is no suspicious intraorbital enhancement or fluid collection. The optic nerves are intact. There are unchanged deformity of the bilateral globes.
1.Persistent lack of flow related enhancement in the left superior ophthalmic vein is likely due to chronic thrombosis without evidence of cerebral venous sinus thrombosis.2.Stable postoperative findings without no new intracranial or scalp abscessI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.