Right sided weakness. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a right cerebellar developmental venous anomaly. The brain parenchyma otherwise appears unremarkable. 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. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are secretions in the left frontal sinus and bilateral maxillary sinus retention cysts. There is deficiency of the nasal turbinates and a defect in the anterior nasal septum. MRA: Focal loss of flow-related signal in the junction between the extracranial and intracranial portions of the right internal carotid artery may be artifactual. Otherwise, there is no evidence of significant steno-occlusive lesions or cerebral aneurysms.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Focal loss of flow-related signal in the junction between the extracranial and intracranial portions of the right internal carotid artery may be artifactual. Otherwise, no evidence of significant cerebrovascular steno-occlusive lesions.3. Deficiency of the nasal turbinates and a defect in the anterior nasal septum may be related to prior vasoconstrictive agent use or granulomatous disease.