New onset severe headache. Evaluate for mass or other intracranial pathology. The brain parenchyma appears unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. No abnormal parenchymal or meningeal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Sella and orbits are grossly unremarkable. There is increased opacification of the left sphenoid sinus compared to CT from 5/27/2009. Unchanged mild mucosal thickening of the bilateral ethmoid, and left maxillary sinuses and improved mucosal thickening the right maxillary sinus. Remainder of the skull and extracranial soft tissues are unremarkable.
1. MRI of the brain is unremarkable. Specifically, no intracranial mass or mass effect. 2. Mild to moderate paranasal sinus disease, which is overall similar to prior, but there is interval increased opacification of the left sphenoid sinus.