12 years Female (DOB:7/4/2004)Reason: headache History: headache Ocular pain, right eyePROVIDER/ATTENDING NAME: MICHELE R MCKEE JULIA M HENRY MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a subcortical white matter and FLAIR signal hyperintensity redemonstrated in the right temporal lobeNo abnormal enhancing mass lesions are appreciated within the brain parenchyma. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate only minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI orbits:The eyeballs are intact. The extraocular muscles are intact. The lacrimal glands are symmetric and within normal limits in size and configuration. There is no optic nerve enhancement appreciated. The suprasellar cistern is intact.There is some infiltration of fat planes on the retro-orbital fat within the right orbit.Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is reversal of the normal cervical curvature presentNo abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There is a subcortical white matter lesions and right temporal lobe which in isolation is of unknown clinical significance. It is not changed since prior exam.2.There is subtle infiltration of the retro-orbital fat in the right orbit raises the question of an infiltrating lesion such as pseudotumor of the orbit or inflammation due to other cause. It is nonspecific.3.Reversal of the normal cervical curvature could be related to patient positioning in the scan or muscle spasm. There is no compromise to cervical spinal canal or exiting nerve roots appreciated.