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What Does The Following Brain MRI Report Indicate?

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Posted on Wed, 30 Nov 2016
Question: Hello, I've been having a feeling that there is pressure behind my nose, and now my nose and sinus area just sort of feels unpleasant and tight. Not necessarily pain. An MRI of my head was done 2 months ago (not looking for sinus problems) and they mentioned on the report that my sinuses looked clear. Is this enough imaging to know that I don't have sinus problems? Or would I need my doctor to specifically order a CT scan to look at my sinuses? Once again, the MRI of my head says "Sinuses appear clear".
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Answered by Dr. Sumit Bhatti (56 minutes later)
Brief Answer:
Pre and Post decongestion Sinus CT Scan.

Detailed Answer:
Hi,

Thank you for your query.

1. Yes, a Sinus CT Scan should be done. Bone is invisible on MRI Scans and Sinuses are bony cavities.

2. Preferably get a scan done before and 15 minutes after decongestion with 0.1% Xylometazoline nasal drops (Otrivin). Compare the images and with any relief of the pressure in the nose immediately after the decongestion.

3. If there is no sinusitis, look for mucosal contact and hypertrophied nasal turbinates.

4. Upload some images of the MRI and CT Scans for a better assessment.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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What Does The Following Brain MRI Report Indicate?

Brief Answer: Pre and Post decongestion Sinus CT Scan. Detailed Answer: Hi, Thank you for your query. 1. Yes, a Sinus CT Scan should be done. Bone is invisible on MRI Scans and Sinuses are bony cavities. 2. Preferably get a scan done before and 15 minutes after decongestion with 0.1% Xylometazoline nasal drops (Otrivin). Compare the images and with any relief of the pressure in the nose immediately after the decongestion. 3. If there is no sinusitis, look for mucosal contact and hypertrophied nasal turbinates. 4. Upload some images of the MRI and CT Scans for a better assessment. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.