Right ptosis and diplopia. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered nonspecific cerebral white matter T2 hyperintense foci. There is no abnormal intracranial enhancement. 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 and scalp soft tissues are grossly unremarkable. There is mild right maxillary sinus mucosal thickening.Orbits: There is no evidence of orbital mass lesions. The bilateral globes, optic nerves, extraocular muscles, lacrimal glands, and orbital fat are unremarkable.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. No evidence of orbital mass lesions.