Episodic dizziness and presyncopal episodes. Brain: The examination is limited due to artifact from orthodontic hardware. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration, aside from a mildly convex cavum septum pellucidum. There is no midline shift or herniation. The major cerebral flow voids are intact. Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is a mild diffuse congenitally narrow spinal canal. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct, although many of the images are degraded by dental brace artifact. 2. Probable right mastoid air cell and left petrous apex effusions.3. No evidence of Chiari type 1 malformation.4. Mild diffuse congenitally narrow spinal canal.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.