 There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a nonspecific punctate focus of susceptibility effect in the left parietal lobe, which may represent chronic hemorrhage. The brain parenchyma otherwise appears unremarkable. There is a partially empty sella. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is complete opacification of the left sphenoid sinus and sphenoethmoidal recess, extending into the left posterior ethmoid air cells. There is also a small amount of fluid signal in the bilateral mastoid air cells. There is persistent mild right greater than left exophthalmos.
1. A partially empty sella may represent pseudotumor cerebri.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 3. Nonspecific small amount of fluid signal in the bilateral mastoid air cells may represent mastoiditis.4. Persistent left sphenoid sinus and posterior ethmoid sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.