Personal history of infections of the central nervous system. History of Meningitis, questionable head CT. BRAINThe CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate minor opacity in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There are several subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are likely of little clinical significance given the small number. They are not unusual at this age.IACCorrelation with CT temporal bones from 4/4/15, on the left side no distinct cochlear semicircular canals are appreciated. On the right side the superior semicircular canal is identified but no distinct cochleae is identified. The left external auditory canal isn't prominent well-formed. The left facial nerve canal can be identified.Correlation with CT temporal bones, the right internal auditory canal is wide, however, distinct cochlear nerve is not readily appreciated. The right facial nerve is identified. There appears to be a vestibular nerve along the inferior posterior aspect of the right internal auditory canal.The right middle ear and mastoid air cells appear to be opacified.No abnormal enhancing lesions are appreciated at the cerebellopontine angle cisterns nor the internal auditory canals.
1.There is opacification of the right middle ear and mastoid air cells. This was also present on the recent temporal bone CT there are no obvious signs of active infection appreciated.2.The inner ear structures bilaterally are severely malformed. There is no distinct cochlear appreciated on either side. The semicircular canals on the left side are also not identified. The right superior semicircular canal is identified. There are bilateral facial nerves present probably a vestibular division of the right eighth nerve. The rest of the distal fibula cochlear nerves are not readily appreciated.3.There is no MR evidence for intracranial infection appreciated at this time.