 There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. 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. There is interval decrease in extensive mucosal thickening and fluid in the ethmoid air cells, left frontal, bilateral maxillary and sphenoid sinuses. There is also interval decrease in fluid within the bilateral middle ears and mastoid air cells. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. No evidence of PRES.2. Decrease in extensive mucosal thickening and fluid within the paranasal sinuses and mastoid air cells since the prior MRI, although signs of acute sinusitis persist.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.