13 years, Female, anterior uveitis concerning for inflammation or neoplasm. Eye pain, conjunctival injection, blurry vision, floaters.. Brain: Brain parenchyma appears unremarkable for age. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. There is slight prominence of the pituitary gland which is likely within normal limits for patient's age. Mild scattered paranasal sinus opacification as seen on recent CT. Paranasal sinuses and mastoid cells are otherwise clear. Bone marrow signal and extracranial soft tissues are within normal limits. Small T2 hyperintense structures within the parotid glands probably represent small lymph nodes and within normal limits.Orbits: There is no discrete intraorbital mass is evident. Extraocular muscles appear within normal limits. No mass within the globes. There is subtle fullness and abnormal enhancement involving the optic nerve heads which may reflect papilledema although no associated distention of the optic nerve sheaths is evident. There is also subtle nonspecific enhancement surrounding the optic nerve sheaths, particularly on the right, which may represent optic perineuritis. No abnormal signal or enhancement within the optic nerves themselves is appreciated. Mild prominence of the lacrimal gland tissue, right greater than left, without focal lesions. Mild thickening of the preseptal soft tissues, right greater than left, which may represent edema. No significant fat stranding, fluid collections, or abscess.
1. Brain MRI appears within normal limits. Specifically, no intracranial mass or mass effect.2. No discrete mass within the orbits. There is fullness and enhancement at the level of the the optic nerve heads, which may reflect papilledema and can be correlated with examination. There is also abnormal enhancement surrounding the optic nerve sheaths, right greater than left. This finding is nonspecific but may reflect optic perineuritis or congestion related to inflammatory process.3. Borderline enlargement of the lacrimal glands, right greater than left, without focal lesions.4. Mild thickening of the preseptal soft tissues, right greater than left, which may represent edema. No fluid collections or abscess.