Hello. Could anybody translate the following please?
MRA Neck. Clinical History: Right sided pulsatile tinnitus 2 years which is reduced with neck pressure. Audio showed SNHL left ear. MRI Head with Gadolinium: CT of temporal bones dated 27/08/13. T2 axial of the brain is within normal limits. There is no evidence of intracranial mass lesion or ventricular dilatation. No DWI abnormality. No micro haemorrhages. There is mild expansion of the fourth ventricle with an enlarged cisterna magna. Normal dimensions of the third and lateral ventricles. Normal craniocervical junction. Post contrast views of the IAMS shows no abnormal enhancement. There is unilateral left petrous apex pneumatisation. No abnormal enhancement relating to the skull base or middle ear is identified. The MRV sequences demonstrate a hypoplastic left transverse sinus. There is narrowing of the distal aspect of the dominant right transverse sinus leading up to the junction with the sigmoid sinus. The sigmoid sinus and the visualised IJV are patent. The functional significance of this narrowing is unclear but it may be associated with ipsilateral tinnitus. Tertiary centre opinion is suggested. Note is made of rounded soft tissue lesions in the left side of the upper deep cervical region (see for example sequence 8 image 14/23). There is also a 10mm rounded retromastoid subcutaneous soft tissue lesion on the right side (see sequence 30 image 5/18). These lesions demonstrate avid contrast enhancement. The nature of these is uncertain - they mat represent lymph nodes or soft tissue lesions such as neurofibromas. MRI IAM With Gadolinium: See above. MRA Neck: See above. Reported by Dr xxxxx - consultant radiologist.