Chronic migraine without aura, without mention of intractable migraine without mention of status migrainosusClinical question: headaches since age 10 ? Any malformationsSigns and Symptoms: headaches 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 air-fluid level in the right maxillary sinus and mucosal thickening in the right sphenoid sinus as well as right ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is an air-fluid level present in the right maxillary sinus. The possibility of ascites cannot be excluded. Please correlate patient's clinical history2.No evidence for intracranial mass lesion or other lesion within the brain parenchyma to explain patient's headaches.