Hodgkin lymphoma with mastoiditis. There is fluid within the right middle ear and mastoid air cells with extensive mucosal thickening. There is also diffuse enhancement of the bone marrow in the right lateral and central skull base, with mild overlying dural enhancement diffusely. Furthermore, there is diffuse enhancement of the soft tissues in the right prevertebral and paravertebral spaces. There is apparent signal abnormality in the upper right internal jugular vein. 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. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable.
Findings compatible with right otomastoiditis associated with right skull base osteomyelitis and right prevertebral and paravertebral space inflammation, which may be associated with focal right internal jugular venous thrombosis versus compression. No evidence of intracranial abscess or acute infarct. Discussed Dr. Pulimi at 11:20 AM on 2/1/16.