New onset of dizziness and postural vertigo, more on the left. Looking for vascular or structural pathology. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears 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. The orbits, skull, and scalp soft tissues are unremarkable. There is scattered paranasal sinus mucosal thickening and suggestion of fluid within the left maxillary sinus.MRA: There is no evidence of significant steno-occlusive lesions or saccular aneurysms, within the limits of MRA.
1. No evidence of acute infarct, intracranial hemorrhage, or mass.2. No evidence of significant steno-occlusive lesions.3. Possible acute sinusitis.