Chronic maxillary sinusitis [J32.0] / Human immunodeficiency virus (HIV) disease [B20], Reason for Study: ^Reason: h/o HIV/AIDs now with seizures of uncertain etiology History: as above. Brain MRINo evidence of acute ischemic or hemorrhagic lesion.Scattered T2/FLAIR high signal intensities on bilateral periventricular white matter indicate nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The pmastoid air cells are clear.There is a Developmental Venous Anomaly on the right pre central gyrus.Mucosal thickening with opacification of the right maxillary sinus, right side frontal sinus, sphenoid sinus as well as ethmoid sinus are seen.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent as well as Acom artery. No aneurysm. No arterial luminal stenosis.Brain MRV3D MRV brain post-gadolinium with maximum intensity projections of the superficial/deep intracranial venous drainage demonstrate normal flow enhancement in the superior sagittal sinus, transverse sinuses, sigmoid sinuses, internal cerebral veins, vein of Galen and straight sinus.
1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Right frontal lobe pre central gyrus DVA.3. Normal brain MRA and MRV. 