VA shunt, noted at OSH to have vegetation on atrial end. Brain: There is a left transparietal catheter that terminates in the interhemispheric fissure. The ventricles have not significantly changed in size and configuration. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged T2 hyperintensity along the prior right frontal lobe catheter tract. There are postoperative findings related to Chiari decompression surgery. There is a right cerebellar hemisphere developmental venous anomaly. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unchanged.Orbits: There is minimal residual fluid signal in the anterior left superior orbit. There is no evidence of intraorbital tumors. The right orbit is unremarkable.
1. Left transparietal catheter terminating in the interhemispheric fissure. The ventricles have not significantly changed in size and configuration. 2. Unremarkable postoperative findings related to Chiari decompression surgery.3. Minimal residual fluid or edema in the left superior orbit.