 No abnormal orbital mass or abnormal enhancement is seen. No abnormal signal intensity is evident. The optic nerves are normal in size and signal intensity, and are symmetric bilaterally. No retrobulbar mass, chiasmatic mass, or parasellar abnormality is seen. Extraocular muscles are unremarkable.Although this exam is not dedicated for evaluation of cranial nerves as this was previously performed, there is suggestion of subtle enhancement of cranial nerves III along the cisternal portions and along the cavernous sinus, as well as possibly the cisternal sixth cranial nerves.Moderate lobulated mucosal thickening is again seen within the left maxillary sinus. The left ostiomeatal unit appears opacified. There is also mucosal retention cyst along the floor of the right maxillary sinus. There is scattered trace mucosal thickening in the ethmoid sinuses. There is a small mucous retention cyst along the adenoids.
1.No definite orbital abnormality.2.Suggestion of enhancement of the visualized portions of cranial nerves III and VI, although this is not a dedicated cranial nerve exam as this was performed previously. This would be compatible with patient's history of possible Miller Fisher syndrome, although please correlate clinically as other etiologies remain within the differential, including demyelinating, infectious, and other inflammatory processes.