Uveitis with concern for involvement of optic nerve/brain: blurry vision and eye pain. Orbits: There is right preseptal soft tissue swelling and enhancement. There is also swelling and hyperenhancement of the right lacrimal gland. However, there is no evidence of drainable abscess. There appears to be mild prominence of the bilateral optic nerve sheath cerebrospinal fluid and perhaps flattening of the bilateral optic nerve discs. Otherwise, the bilateral optic nerve signal characteristics, extraocular muscles, and orbital fat are unremarkable.Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma, brainstem, cerebellum, and optic chiasm appear unremarkable. The superior aspect of the pituitary gland is flattened, but there is not a partially empty sella. There is no abnormal intracranial enhancement. The ventricles are normal in size and configuration, including trace cavum septum pellucidum. However, there is prominence of the bilateral Meckel caves. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There are bilateral maxillary sinus retention cysts.
1. Findings compatible with right preseptal cellulitis and dacryoadenitis, but no evidence of abscess or optic neuritis.2. Prominence of the bilateral Meckel caves, prominence of the bilateral optic nerve sheath cerebrospinal fluid, possible flattening of the bilateral optic nerve discs and flattening of the superior aspect of the pituitary gland can represent a manifestation of idiopathic intracranial hypertension, although this appears to be an isolated finding.3. No evidence of intracranial hemorrhage, mass, or acute infarct. 