CTV Results

hey all! i finally got my results for my CTV. Does anyone have similar results and what actions/solutions did you take?

Im interested if anyone has also had “empty sella” and if that has led to any symptoms for them.

CT head:

Redemonstrated empty sella. The bilateral optic nerves are tortuous with suspected optic nerve sheath distention on CT.

Stable irregular calcification the right frontal convexity which could represent an inner table osteoma or nonspecific dural calcification. The brain parenchyma otherwise appears unremarkable. No acute infarct, hemorrhage, focal parenchymal edema or enhancing intracranial mass. Stable age-appropriate ventricles. No hydrocephalus, midline shift or herniation.

No aggressive appearing osseous lesion well-aerated paranasal sinuses and mastoid air cells.

CTV head and neck:

Severe extrinsic narrowing of the bilateral transverse-sigmoid sinus junctions. Small filling defect within the left distal transverse sinus likely from prominent arachnoid granulation. There is thinning/dehiscence of the bilateral sigmoid plates. The major dural venous sinuses and deep cerebral veins are otherwise patent. The jugular bulbs are not high riding.

Mild nonspecific narrowing of the bilateral IJVs as they course between the lateral masses of C1 and the styloid processes. The IJVs are otherwise patent.

No significant abnormality in the soft tissues of the neck or cervical spine. The visualized lung apices are unremarkable.

IMPRESSION:

Empty sella, bilateral optic nerve tortuosity +/- optic nerve sheath distention, and severe bilateral transverse-sigmoid sinus stenosis with associated bilateral sigmoid sinus wall abnormality. Constellation of findings are in keeping with IIH