 There is no intracranial mass or abnormal parenchymal or meningeal enhancement to suggest metastatic disease. There are scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter which are nonspecific but consistent with mild chronic small vessel ischemic changes. No evidence of recent infarct or intracranial hemorrhage. No extra-axial collections. No hydrocephalus. No suspicious lesions are seen within the calvarium. T1 hyperintense lesion within the left occipital calvarium is compatible with small hemangioma.There is a heterogeneous appearing polypoid lesion involving the left maxillary sinus with central enhancement. There is surrounding more inflammatory appearing mucosal thickening in the left maxillary sinus, as well as in the right maxillary sinus.
1. No evidence of intracranial metastatic disease.2. Enhancing polypoid lesion involving the left maxillary sinus is nonspecific. The central enhancement is atypical for typical inflammatory polyps and consider further ENT evaluation to exclude the possibility of neoplasm.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.