Diagnosis: Migraine, unspecified, without mention of intractable migraine without mention of status migrainosusClinical question: evaluating for underlying cause of change in pattern of headaches.Signs and Symptoms: Pt with migraines since elementary school, has had increased frequency of migraines over past 6 months, now 8 per month. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for intracranial mass lesion. MRI of the brain is within normal limits.2.Mucosal thickening in the paranasal sinuses is most likely inflammatory in nature but is a common finding. Please correlate with clinical symptoms for potential sinusitis.