10-year-old male with relapsed AML on chemotherapy with fevers, pain and new onset left eye ptosis. There is no evidence of intracranial hemorrhage or mass. The brain parenchyma appears grossly unremarkable on the sequences provided. 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 and scalp soft tissues are unchanged.There is marked mucosal thickening and debris within the right maxillary sinus. The remaining imaged paranasal sinuses are unremarkable.
1.No gross evidence of intracranial hemorrhage or mass, although the exam is limited by the lack of intravenous contrast and patient motion. 2.Mucosal thickening and secretions within the right maxillary sinus may represent acute sinusitis in the correct clinical setting.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.