Bilateral, mild-moderate left, and moderate-severe right (essentially phythisis bulbi) microopthalmia with optic nerve atrophy, and posterior bulging/coloboma-staphyloma. Bilateral lens degeneration. Bilateral retinal detachments, with mostly non-enhancing funnel shaped T2 hypointensity along the posterior vitreous. There is however a nonspecific small focus of T2 intermediate signal along the right temporal leaflet anteriorly, which shows nodular enhancement. Bilateral abnormal posterior globe wall thickening and retro-ocular T2 hypointensity, which shows mild-moderate, irregular postcontrast enhancement. Evaluation for any diffusion restriction is limited on the large FOV DWI sequence.
Bilateral nonspecific smooth left, greater than right, retrolental enhancement is present on more delayed imaging, and also nonspecific suggested smooth bilateral optic nerve enhancement. The superior ophthalmic veins show flow signal, and the cavernous sinuses are grossly symmetric and unremarkable.
The choanae may be narrowed, but better evaluated with CT.
A 0.5cm AP x 0.4cm CC pineal cystic focus is present, without visible nodularity pre-contrast, but shows diffuse internal post-contrast enhancement.
There is side-to-side asymmetry of the cranial vault, and the cerebral hemispheres, and also right larger than left lateral ventricles. Normal myelination signal for age, and no significant periventricular leukomalacia or significant volume loss. Grossly normally formed other midline structures such as the corpus callosum, and pituitary gland. No visible acute intracranial bleeding, recent infarct, significant focal mass effect, or hydrocephalus. Incidental note of dominance of the left posterior dural venous sinuses, and relative hypoplasia on the right, and relatively prominent adjacent scalp/transcranial veins.
Mild bilateral paranasal sinuses mucosal thickening. Rightward nasal septal deviation. Moderate adenoidal prominence.