Not always asymptomatic! Of course this is the exception to the rule, but so what — that’s what brains are for — to think thru every case on its own

Giant SSS granulation — incidental at this point

Later on… right side is good

Left side is bad — can you see it?

Later phase of bad

CT/MR — without annotations

With

Treatment with anticoagulation of course

Below are different patients, with giant granulations — asymptomatic as is usually the case. More of these on the Venous Sinuses page

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