7 year old male patient with possible seizure focus on left. 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. There is extensive maxillary sinus mucosal thickening, right greater than left, and partial mucosal thickening and secretions in the ethmoid air cells. There is slight prominence of the bilateral optic nerve sheath cerebrospinal fluid, but is no bulging of the optic discs or optic nerve atrophy. The skull and scalp soft tissues are grossly unremarkable.
1. No potential seizure foci are identified.2. Slight prominence of the bilateral optic nerve sheath cerebrospinal fluid is a non-specific finding, but can be a manifestation of elevated intracranial pressure. 3. Findings suggestive of sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.