I will try to be shot & to the point! 47 yr old female that normally never goes to the Doctors as I am normally healthy and very active, though the last year has been weird, last couple of weeks hell.
ENT ordered MRI/MRA saying problems sound vascular: pulse sound in ears & pressure feeling in R ear, this is X's 1 year and for about 2 weeks have had a dull face/back of eyes/top of head headache 24/7 (I never get headaches), light sensitive, dead tired and just not with it (not my normal active sassy self). The dull headache along with red, dry, scratcy, heavy feeling eyes and tired... I assumed were side effects of Xalatan drops for newly dx'd probable Glaucoma (been taking drops for 1 month now). Ophthalmologist said give two more weeks to get used to. I also have postual hypotension x's about 6 months and am salting, do not want to use steroids unless start passing out.
Brain/IAC's MRI/MRA says all is fine for vascular, IAC's and ears 100% at 40db. ENT to recomment to PCP that I see Neurologist and then cardiologist. ENT did not mention in his report to PCP (or to me) any of the following second part of the radiology report, only the good new that I do not have any problems with ears, hearing or vascular issues in my head. I always get copies of any test done for my records, the area we live in is knowm for Doctors that come and go, retire, pass...
#1 on radiology report: all is fine as stated above
#2 on radiology report: see following
Probable mucocele in the nondependent portion of the sphenoid sinus should be evaluated by direct visualization.
There is a lobulated 1.1 x 1.2 cm soft tissue mass anteriorly in the left sphenoid sinus This is isointense to white matter on the T1W images, hyperintense on the T2W images and does not demonstrate any evidence of enhancement. This probably represents a mucocele, but should be evaluated by direct visualization. The remainder of the visualized paranasal sinuses do not demonstate any evidence of abnormality.
I faxed a copy of this to PCP and also dropped a copy off to Ophthalmologists office.
I am confused as to no mention of #2 on the radiology report to PCP or even saying something to me, this all happened last week. I did look at CD and saw what radiologist is refering to, in one view there are two little branches that branch to something that looks like (don't laugh too hard) "brain matter" on the side, I don't know, wish I could add photo(s) but could not figure how to get off CD :(
Anyway, wondering why this was not brought up and being left out and off (when radiologist recommends visual), I feel at a loss, not my normal in control self I guess. I will be calling tomorrow to make apppointment with PCP to follow up on this... In the mean time I am feeling pretty lousy and wandering
Is it because 1.1 X 1.3 cm considered small in this area?
wait & see? but why not tell me or PCP so he can wait & see/follow up?
Could this maybe be a cause for probable Glaucoma diag ?
Any information on this subject you are able to provide would be greatly appreciated,
Cis