Diagnosis: Migraine, unspecified, intractable, without status migrainosusClinical question: worsening headaches, eval for structural cause 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.Incidental note is made of a developmental venous anomaly in the right inferior parietal lobule.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 minor mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for intracranial mass lesion or other intracranial lesion to account for the patient's headaches.2.There are some mild mucosal thickening in some of the paranasal sinuses. This is most likely inflammatory in nature