10-year-old female with right ear and throat pain. Evaluate for nerve impingement causing glossopharyngeal neuralgia. Artifact from dental hardware limits evaluation of the frontal lobe on the gradient echo sequences. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The 3-D T2 images are essentially nondiagnostic due to motion although no repeat was performed. There is no gross abnormality affecting the glossopharyngeal nerves on the additional thin section image sequences and coronal T2 images.The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is moderate mucosal thickening within the bilateral sphenoid sinuses and mild mucosal thickening within the left greater than right frontal sinuses, ethmoid air cells and maxillary sinuses overall improved compared to the prior CT.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.No obvious abnormality affecting the bilateral glossopharyngeal nerves, although 3D T2 sequence is suboptimal.3.Interval improvement in paranasal sinus disease.