 BRAIN:The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. 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. The mastoid air cells are clear. There is a minimal air-fluid level in the right maxillary sinus. The ethmoids are partially opacified.There is a partial empty sella. There is no correlative evidence for optic sheath ectasia, optic nerve sheath dilatation, flattening of the optic disc, or a "pinched" appearance of the lateral ventricle frontal horns.MR VENOGRAM:Internal jugular veins, sigmoid sinuses, transverse sinuses, and sagittal sinus are normal in caliber. No evidence of stenosis or occlusion.
1.There is a minimal air-fluid level in the right maxillary sinus and the ethmoids are partially opacified.2.A partially empty sella is present, which in a patient of stated age 35 years can be seen in the presence of idiopathic intracranial hypertension (a.k.a. pseudotumor cerebri) or idiopathic partially empty sella. As there is no evidence of optic nerve sheath ectasia, optic nerve sheath dilatation, flattening of the optic disc, or a "pinched" appearance of the frontal horns, idiopathic partially empty sella is felt to be most likely.3.Normal MRV of the brain.