Ulcerative proctitis, GERD, HLD, presenting for evaluation of headaches -- throbbing headaches that occur in the back of head and neck, with occasional radiation to the front of the head with occasionally associated nausea. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is nasal septal deviation to the left with a spur that appears to contact the left inferior turbinate.
1. No evidence of acute intracranial hemorrhage, mass, or ventriculomegaly.2. Nasal septal deviation to the left with a spur that appears to contact the left inferior turbinate.