Clinical question: History of breast cancer. Patient complaining of headaches and nausea. Status post chemotherapy. Signs and symptoms: History of breast cancer. Complaining of headaches and nausea. Status post chemotherapy. Pre and post enhanced brain MRI:Negative diffusion weighted series.Examination demonstrate normal anatomical development, morphology and signal intensity of brain on all MRI sequences.Unremarkable cerebral cortex, cortical sulci, ventricles or system, CSF spaces and brain myelination.There is no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease.Unremarkable images through the orbits including axial fat sat post enhanced series.Calvarium demonstrate normal signal intensity and without abnormal enhancement.The signal voids of major intracranial arterial branches are identified.The signal intensity of intracranial venous sinuses are within normal and with normal pattern of enhancement.
1.Unremarkable pre and post enhanced brain MRI.2.Unremarkable calvarium, paranasal sinuses and mastoid air cells.