HTN, preDM and new right CN 4 palsy, worsening. MRI: There are a few scattered T2 hyperintensities in the cerebral white matter bilaterally. The brainstem and cerebellum appear unremarkable. There is no evidence of intracranial hemorrhage or acute infarction. There is no midline shift or mass effect. There is mucosal thickening of the maxillary sinuses, left greater than right, with an fluid in the left maxillary sinus. The orbits, cavernous sinuses, and skull are unremarkable. MRV: The major dural venous sinuses are patent and symmetric, without evidence for dural venous sinus thrombosis.
1. No discernible cranial nerve abnormality.2. A few scattered foci of cerebral white matter T2 hyperintensity are nonspecific, but may represent chronic microvascular ischemic disease.3. No evidence of venous sinus thrombosis.4. Findings suggestive of acute left maxillary sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.