Diagnosis: Sleep disturbance, unspecifiedClinical question: seizuresSigns and Symptoms: seizures The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal 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 in the frontal sinuses opacification of the right maxillary sinus, air-fluid level in the left maxillary sinus associated with mucosal thickening, opacification of the anterior and middle ethmoid air cells and hypoplastic sphenoid sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There are no abnormal mass lesions appreciated within the brain parenchyma to account for the patient's seizures.2.Exam is degraded due to motion artifact which may obscure more subtle abnormalities3.There is an air-fluid level in the left maxillary sinus. The possibility of acute sinusitis cannot be excluded.