گزارش پزشک :

BRAIN AND ORBIT MRI

(with & without contrast)

Technique: Axial FLAIR , Axial , sagittal , FSE T2 , axial & coronal T1 – right & left oblique T2 & post contrast Axial-sagittal – coronal T1 .

REPORT :

The interhemispheric fissure is centered on the midline .

No abnormalities are seen in the basal ganglia , int . capsule, corpus callosum , Thalamus and tectal plate .

The sella and pituitary – pineal g .are normal and parasellar, suprasellar structures are unremarkable.

The cerebello pontine angle area appears normal on each side.

The internal acoustic meatus has normal width .

Major intracranial vascular structures , pericavernous spaces and visualized intracranial nerve complex are normal .

Orbits are symmetrical and of normal size .

The globes are symmetrical and of normal size and the ocular contents show normal signal characteristics .

The eye muscles are normally positioned .

The retrobulbar fat , ophthalmic vein are unremarkable .

– An well – defined mass lesion ( 11 x 25 mm ) attached to posterolateral wall of right orbit ( intermediate signal in T1 & T2 ) , with adjacent bone thickening – mass effect on right optic nerve , with right proptosis & with post contrast enhancement suggestive for recurrent/remnant tumor

– Focal & mild mucosal thickening in left posterior ethmoidal cells

are seen

– in comparison to previous MRI (1399/06/29 ) soft tissue swelling & proptosis is increased .