50 years Female (DOB:1/13/1966)Reason: 3 t scanner optic nerve sheath meningioma left and right History: vision loss left more sever than rightPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI orbits:The eyeballs are intact. No intraconal or extraconal space mass is identified. The extraocular muscles are intact. The lacrimal glands are symmetric and within normal limits in size and configuration. There is optic nerve sheath enhancement appreciated within the intracanalicular portions and orbital apex portions of the optic nerves which appears worse on the left side. There is eccentric dural thickening compressing the left optic nerve, however, some enhancement of the left optic nerve along its intracanalicular portion may also be represent or some compression of the optic nerve. Differentiation may not be possible due to spatial resolution limitations of this exam. The suprasellar cistern is intact .Some mucosal thickening is present in the maxillary sinuses.
1.Optic nerve sheath enhancement within the intracanalicular and orbital apex portions of the optic nerves encasing the optic nerves. 2.Findings suggest either left optic nerve enhancement or compression. Differentiation may not be possible due to spatial resolution limitations of this exam. 