Clinical question: Evaluate for fungal infection in brain. Signs and symptoms: Immunocompromise, AML. Pre and post enhanced brain MRI:Negative diffusion weighted images.Examination demonstrate normal anatomic cord morphology of the brain and with normal signal intensity on all MRI sequences.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Examination also fail to demonstrate any abnormal enhancement of brain parenchyma, the meninges, calvarium or the orbits.Signal void of major intracranial arterial branches are identified.The signal intensity of intracranial venous sinuses is within normal and with normal pattern of enhancement.Unremarkable images through the orbits including axial fat sat post enhanced series. Explain all paranasal sinuses are visualized and demonstrate normal pneumatization. Bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal patterns.
Negative pre and post enhanced brain MRI exam as detailed.