 ORBITS: There is normal appearance of the globes, and extraocular muscles with no signal abnormality appreciated. The optic nerves are symmetric in caliber and signal intensity without mass or discrete abnormality. However, evaluation is limited due to lack of IV contrast.BRAIN: Evaluation is limited due to lack of IV contrast. There are remote postoperative findings related to right anterior temporal lobectomy. There is no acute infarct, mass effect or midline shift. There is increased T2 signal at the margin of the right temporal lobe resection and regional which may be postsurgical. The right fornix is small than the left which may be chronic and secondary to surgery. There is no definite abnormal T2 signal or volume loss in the left hippocampus, although evaluation is limited due to right temporal resection and lack of the contralateral comparison. There are no gray matter heterotopia or gross evidence for cortical dysplasia. The pituitary gland is not enlarged. There mass effect on the optic chiasm.
1.No intraorbital mass or significant abnormality, although evaluation is limited without IV contrast.2.No gray matter heterotopia or evidence for cortical dysplasia.3.No appreciable volume loss or signal abnormality in the left hippocampus, slightly limited due to lack of contralateral comparison.4.Remote postoperative findings related to right anterior temporal lobectomy.