 Motion limits fine detail of some sequences. There is a small linear focus of nonspecific T2 hyperintensity in the right precentral gyrus (series 801, image 17), which does not enhance. There is questionable ill-defined enhancement in the distal fundus of the left internal auditory canal, as well as asymmetric enhancement questioned in the expected location of the left geniculate ganglion. There are no masses, mass effect or midline shift. There is no evidence of hemorrhage or infarction. Incidental note is made of a partially empty sella. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The major vessels are patent. The paranasal sinuses are clear. The mastoid air cells demonstrate minimal opacity. The orbital globes are small with heterogeneous appearing fluid suggestive of blood products, not significantly changed compared to prior exam. The calvarial marrow is unchanged in appearance with diffuse T1 hypointense marrow replacement.
1. Questionable ill-defined enhancement in the distal fundus of the left internal auditory canal and in the expected location of the left geniculate ganglion. Patient will be recalled for dedicated internal auditory canal sequences.2. Nonspecific T2 hyperintensity in the right precentral gyrus which does not enhance.3. Diffuse marrow replacement is a nonspecific finding which can be seen with chronic disease, anemia, lymphoproliferative or myeloproliferative disorders.4. Phthisis bulbi with chronic intraocular hemorrhage.