New frontal headaches. There is a partially empty sella. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is minimal nonspecific cerebral white matter T2 hyperintensity. 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 skull, paranasal sinuses, and scalp soft tissues are unremarkable. However, there is fluid signal within the right mastoid air cells.
1. Nonspecific partially empty sella, which may be associated with pseudotumor cerebri. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarction.2. Right mastoid fluid, which may indicate mastoiditis in the appropriate clinical setting.