Chronic dural venous sinus thrombosis with development of dural AV fistula with MRI demonstration of raised intracranial tension and papilledema

Findings suggestive of chronic dural venous sinus thrombosis predominantly involving superior sagittal sinus as described.

Multiple tiny tortuous flow voids involving the suprasellar cistern, bilateral sylvian fissures insular cisterns, supracerebellar cistern – represents dural AV fistula

Empty sella appearance with bilateral optic disc edema /papilledema suggesting raised intracranial tension.

Tiny periventricular hyperintensity in left temporal region of indeterminate etiology.

Recommend clinical correlation.