Anosmia. No sinus drainage. Rule out abnormal sinus anatomy. There is inferior displacement and flattening of the right fovea ethmoidalis with expansion of the space between the crista gala and the right fovea ethmoidalis. The cribriform plate on the right is depressed inferiorly. There also appears to be inferior herniation of the brain parenchyma in this location.Findings are compatible with long-standing mass effect likely due to a meningocele or a encephalocele in this location. MRI is necessary for further evaluation. The paranasal sinuses and mastoid air cells are normally pneumatized.
Inferior displacement of the fovea ethmoidalis with inferior herniation of the brain parenchyma likely due to a meningocele or encephalocele. MRI examination is necessary for further evaluation.Findings discussed with Dr. A. Hong at 2pm on 3/26/2008.