
What Does My MRI Scan Report Indicate?

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Detailed Answer:
I read your query carefully and I understand your concern.
The first part speaks of chronic sinusitis, inflammation of the left frontal sinus, one of the cavities in your skull bones. Perhaps you have had issues with that for a long time and already know what that means.
Now the second part is what could be a little worrying. The description is a little vague though as if the interpreter is not even sure whether there is a real abnormality or an artifact, there is no mentioning of how this signal abnormality looks on different MRI sequences (MRI contains different techniques called sequences, different processes look differently according to the sequence). The hypotheses would be an extension of the infection from the sinus to the brain given the vicinity with the affected sinus or a brain tumor. So a repeat of the MRI with contrast injection is recommended to make that distinction.
As for the asymmetrically dilated right ventricle I wouldn't worry too much as long as there are no other abnormalities of the brain tissue indicating an active process. It could be a remnant of an old issue such as an old infection, trauma, or hypoxic injury since birth. Alone it doesn't need any treatment or represent any risk.
I remain at your disposal for other questions.

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