History of pineal cyst: vision loss both eyes. Brain: There is no evidence of acute intracranial hemorrhage or acute infarct. There is a small amount of encephalomalacia in the right cerebellar hemisphere and bilateral basal ganglia. There is also a mild degree of cerebral white matter T2 hyperintensity. There is an unchanged 7 mm diameter pineal gland cyst. There is diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull appears to be grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening. There is enhancement surrounding the root of tooth number 7. There is focal thinning of the parietal scalp, which may be due to atrophy or prior surgery. There is a nonspecific small right nasolabial fold skin excrescence.Orbits: There is a right lens implant. The bilateral globes and ocular adnexa are otherwise unremarkable. There is no evidence of abnormal intraorbital enhancement or mass lesions.
1. Chronic lacunar infarcts in the right cerebellar hemisphere and bilateral basal ganglia, but no evidence of acute infarct.2. Unchanged subcentimeter pineal gland cyst.3. Right lens implant. Otherwise, no evidence of gross orbital lesions.4. Periodontal disease associated with tooth number 7.