Female, 3 months old, twin pregnancy born at 36 weeks, with nystagmus. Assess for optic glioma, brainstem or cerebellar abnormality. The morphology and signal characteristics of the cerebrum, brainstem and cerebellum are within normal limits. No areas of significant parenchymal signal abnormality, edema or mass effect are seen. No pathologic parenchymal or extra-axial enhancement is noted. The ventricles are normal in size morphology. No abnormal fluid collections are detected.The pattern of white matter myelination is appropriate for the corrected gestational age. The region of the pituitary gland and sella are unremarkable. The brainstem, cerebellar vermis and cerebellar hemispheres are normally formed. Likewise the corpus callosum is fully formed and intact.On dedicated orbital imaging, the globes are round and symmetric, the extraocular muscles show normal caliber, and the optic nerves are free of pathologic thickening, signal abnormality or enhancement. On the coronal STIR sequence, mild symmetric increased signal is seen along the superior orbital soft tissues which is of uncertain but doubtful significance.
Unremarkable examination with no specific findings to account for the patient's symptoms.