Epistaxis. MRI: There is evidence of blood products in the right nasal cavity and nasopharynx as well as right nasal packing material, but no discernible evidence of a tumor. There is mild diffuse mucosal thickening of the pneumatized paranasal sinuses. There is diffuse prominence of the adenoids, which is an expected findings in infants. The salivary glands are unremarkable. There is non-specific high T2 signal within the mastoid air cells bilaterally. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is mild prominence of the anterior cerebral convexity extra-axial cerebrospinal fluid spaces, which can be encountered in infants. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable.MRA: There is no evidence of significant steno-occlusive lesions or anomalous arteries in the sinonasal region.
Stigmata of right nasal cavity epistaxis with packing material and hemorrhage, but no discernible sinonasal tumor and no evidence of maxillofacial vascular malformations within the limits of detection made possible by the modality.