Headache No evidence of acute ischemic or hemorrhagic lesion.Retention cyst on the right maxillary sinus.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Brain MRVNoncontrast enhanced coronal acquisition MIB was obtained.3-D MIP reconstruction shows focal signal drop on the right side mid transverse sinus as well as right sided internal jugular vein. However, robust signal enhancement was seen on the left side transverse sinus, sigmoid sinus and internal jugular vein, therefore, the right transverse sinus signal drop is more likely congenital hypoplasia.There is no evidence of venous congestive encephalopathy.Major deep and superficial venous drainage channels appear to be normal.Conclusion: No evidence of occlusion or venous congestive encephalopathy on this scanNormal brain MRVC-spine MRI:Noncontrast enhanced the C-spine MRI was performed.Cervical spine appears to be straightened. However other cervical spine alignment is anatomic.The cranial-cervical junction is normal. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing or myelopathy. The intervertebral discs demonstrate decreased T2 intensity and height with minimal disc bulging at the level of C67 indicating disc desiccation. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: C2-C3: no neuroforaminal narrowing or spinal stenosis. C3-C4: no neuroforaminal narrowing or spinal stenosis. C4-C5: no neuroforaminal narrowing or spinal stenosis. C5-C6: no neuroforaminal narrowing or minimal disc bulging. C6-C7: no neuroforaminal narrowing or minimal disc bulging, decreased T2 signal intensity of intervertebral disc with a slightly decreased disc height indicating disc desiccation. Minimal spinal canal stenosis at this level.. C7-T1: no neuroforaminal narrowing or spinal stenosis.
1. No evidence of acute ischemic or hemorrhagic lesion on this scan in the brain.2. Normal brain MRV, possible hypoplastic right transverse sinus and internal jugular vein which could be normal variation.3. Minor loss of normal cervical spine lordosis. Disc desiccation with minimal spinal canal stenosis at the level of C6-7 as described above.