61 years Male (DOB:5/19/1955)Reason: Patient with a history of CVID, head and neck Ca, alpha 1 AT defic and recurrent zoster with facial pain. R?o recurrent malignancy or other etiology of nerve pain History: left sided facial painPROVIDER/ATTENDING NAME: KATHLEEN M. MULLANE KATHLEEN M. MULLANE The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a punctate focus of signal loss and susceptibility imaging located in the left inferior frontal gyrus.No abnormal enhancing 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 some mucosal thickening. The patient status post paranasal sinus surgery. There is a craniotomy defect along the frontal sinuses. 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 or other explanation for the patient's headache. 2.The patient is status post paranasal sinus surgery.