Reason: Multiple cafe au lait spots; does he have optic nerve glioma? Also concern for hypoxic ischemic encephalopathy. BRAIN: The ventricles and sulci are within normal limits. Mild prominence of the extra-axial subarachnoid space may be normal or related to benign prominence of the subarachnoid spaces of infancy. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. Myelination pattern is within normal limits for age. There is no diffusion abnormality. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.ORBITS:The optic nerves are symmetric and normal in size and signal intensity. There is no intraorbital mass. There is no chiasmatic mass or parasellar abnormality. The extraocular muscles are grossly unremarkable.
1.Brain within normal limits without evidence of infarction or structural abnormality.2.Orbits within normal limits without evidence of mass.