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Pneumosinus dilatans frontalis

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 30 years
Gender: Male
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Axial
T1
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Info

There is dilatation and hyperpneumatization of both frontal sinuses without thinning of its bony walls.

Widening subarachnoid spaces in both cerebral hemispheres, prominent folia of superior vermis, likely atrophic changes.

Widening CSF space posterior to cerebellum, with arachnoid folds in it, widening cisterna magna.

Pineal cyst is noted with fluid content exhibits CSF signal.

Case Discussion

Pneumosinus dilatans is a term given to an enlarged aerated paranasal sinus (hyperpneumatisation) without thinning of its bony walls. 

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