 The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Lobular mucosal thickening is present within the left maxillary sinus. The remaining paranasal sinuses and mastoid air cells are clear. Note is made of a couple postinflammatory cysts in the nasopharynx. There is no abnormal enhancement within the brain.
Negative MRI of the brain including gadolinium enhancement. Specifically, there are no MRI findings to explain the patient's symptoms.