Sensorineural hearing loss and headache. (Longstanding DM with retinal hemorrhages, now blind in the right eye and decreased visual acuity in the left eye, as well as sensorineural hearing loss of unclear etiology: possible vasculitis.) There is no evidence of significant steno-occlusive lesions in the cerebral arteries. There is also no evidence of cerebral aneurysms. There is a right scleral buckle and intraocular silicone oil.
No evidence of significant steno-occlusive lesions. However, MRA has limited sensitivity for small vessel vasculitis.