From: himadri das <email@example.com>
Date: Fri, Dec 5, 2008 at 7:21 PM
Subject: Re: Three MRI Images with gadolinium
To: Lenny & Lynne Camera <firstname.lastname@example.org>
As regards to your mail , I dont know whether I shuold be answering this but anyways- every things to be correlated with history, signs , symptoms & actual temporal cascade of events leading the patient to to CT or MR suites.My off the record & personal observations would be:
E5: Yes could be cortical venous thrombosis and/or focal cerebritis. Infection from the left frontal sinus will however have to pierce the bones & the dura so few CT sections might help.
28: mild bilateral maxillary sinus disease. however the airspaces of the nasal cavities are reduced due to DNS & hypertrophied turbinates leading to nasal blockage ( if any ) compounding the sinus disease. The sinus ostia ( OMU) shuld be observed to see whether patency is maintained.
43: I feel its bilateral maxillary mucosal thickening with polypoidal component anteriorly on the right side.
Regards & best wishes,
Can you explain what you see in these three images. The first image 14B68928, December 24, 2007…..is this case of sinusitis/maxillary disease considered severe? On Second image 051FEFE5 Question…….could the cloudy white spot in the upper left frontal be an abscess from the sinuses? On Image 041A7943 and 14B68929 could it be not totally sinusitis, could some of it be pooling from a small CSF leak due to trauma?Thank you