Female, 73 years old, with dull bilateral high pain and pressure, not typical for optic neuritis. Assess for retro-orbital mass or optic neuritis. Numerous scattered periventricular and subcortical white matter T2 hyperintensities are redemonstrated. Allowing for technical differences, there has been no significant interval change in the appearance of these lesions since the prior MRI.No evidence of restricted diffusion is seen. No parenchymal edema or mass effect is detected. No pathologic parenchymal or extra-axial enhancement is seen.There is no evidence of any significant intracranial hemorrhage. No abnormal extra-axial fluid collections are detected. Ventricles are normal in size and morphology.Dedicated orbital imaging reveals no intraorbital mass, inflammation or pathologic enhancement. The globes are round and symmetric and demonstrate normal signal characteristics. The extraocular muscles are normal and symmetric in size. The optic nerves are likewise symmetric in size morphology and free of pathologic signal abnormality and enhancement. The remainder the optic pathway is also unremarkable. Limited views of the pituitary are unremarkable in the suprasellar cistern is patent.
1.Stable examination of the brain. No acute intracranial abnormalities are detected.2.Unremarkable evaluation of the orbits with no specific findings seen to account for the patient's symptoms.