9 years Female (DOB:3/24/2006)Reason: patient with chronic headaches, holocephalic with visual changes with the HA History: holocephalic headaches at times waking patient up in the middle of the nightPROVIDER/ATTENDING NAME: CHALONGCHAI PHITSANUWONG CHALONGCHAI PHITSANUWONG The 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 a small mucous retention cyst in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
No abnormal intracranial mass lesion is appreciated to explain the patient's headaches associated with visual changes.