Patient with pain with eye movements: evaluate for orbital inflammation. Orbits: The bilateral globes and ocular adnexa are unremarkable. There is no evidence of abnormal intraorbital enhancement or mass lesions.Brain: There is no evidence of intracranial hemorrhage or acute infarct. There is minimal nonspecific periventricular T2 hyperintensity adjacent to the bilateral frontal horns of the lateral ventricles. There is a punctate low T1 signal focus in the pituitary. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening within the bilateral maxillary and ethmoid sinuses.
1. No evidence of intraorbital inflammation or tumors.2. Minimal nonspecific periventricular T2 hyperintensity adjacent to the bilateral frontal horns of the lateral ventricles may represent chronic small vessel ischemia. 3. Punctate probable pars intermedia cyst.4. Mild mucosal thickening within the bilateral maxillary and ethmoid sinuses. 