Dizziness and giddiness. Diplopia. There is no signal abnormality in the brain to suggest demyelinating disease. Minimal punctate foci of T2/FLAIR hyperintensity such as in the right parietal subcortical white matter are unchanged and nonspecific. There is no intracranial mass or mass effect. There is no abnormal intracranial contrast enhancement. The ventricles and sulci are within normal limits. The deformity of the right orbital floor remains unchanged, likely related to prior inferior blowout fracture. There is moderate mucosal thickening and fluid in the maxillary sinuses and mild mucosal thickening in the ethmoid sinuses.
1. MRI of the brain is within normal limits. No evidence of demyelinating disease.2. Chronic mild deformity of the right orbital floor likely related to prior trauma.3. Mucosal thickening and fluid in the maxillary sinuses may reflect sinusitis in the appropriate clinical setting.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.