Unspecified esotropia [H50.00], Possible Mobius syndrome Esotropia, possible CN 6 palsy, also with sensorineural hearing loss. Medial rectus recession. The examination is limited by motion artifact.With regards to myelination, there is no significant deviation from the expected normal for patient's age. The dorsal pons and middle cerebellar peduncles appear slightly hypoplastic. The gray-white matter differentiation is preserved. No midline shift or mass effect is appreciated. The cortical sulci are in proportion to the cerebral ventricles. No intracranial hemorrhage is identified. There is no diffusion restriction to suggest acute ischemia. No abnormal parenchymal enhancement is seen. There is fluid present in the right mastoid air cells with mild scattered paranasal sinus because of thickening.The bilateral internal auditory canals are suboptimally evaluated secondary to motion artifact and technique, however appear to be grossly unremarkable. No cerebellopontine angle masses are identified. The CSF spaces around the brainstem are visualized.The globes appear symmetric and normal in size. The bilateral optic nerves demonstrate normal caliber and signal intensity. The ocular muscles appear unremarkable. No abnormal postcontrast orbital enhancement is identified.
1. The dorsal pons and middle cerebellar peduncles appear slightly hypoplastic. The cranial nerves are not well delineated on this examination. If further evaluation is needed, a dedicated cranial nerve protocol may be considered.2. There is fluid present in the right mastoid air cells with mild scattered paranasal sinus mucosal thickening.3. Grossly unremarkable appearance of the bilateral orbits.