 The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. There are scattered sporadic foci of mucosal thickening within the paranasal sinuses without superimposed air fluid levels. The mastoid air cells are clear. There is no abnormal enhancement within the brain.
There are scattered sporadic foci of mucosal thickening within the paranasal sinuses without superimposed air fluid levels. Otherwise negative MRI of the brain including gadolinium enhancement.