Male, 73 years old, with blurry vision OD, concern for tumor. Moderate patchy periventricular T2 hyperintensity is seen, and to a less degree within the basal ganglia and pons. No restricted diffusion is evident. There is no evidence of parenchymal edema or mass effect. A few scattered punctate foci of susceptibility are seen compatible with chronic microhemorrhage. No significant intracranial hemorrhage or abnormal extra-axial fluid is detected. Ventricles are normal in size and morphology. No pathologic intracranial enhancement is seen.The globes are round and symmetric. A lens prosthesis has been placed on the right. The extraocular muscles demonstrate normal morphology. The optic nerves are of normal caliber and show no significant signal abnormality or pathologic enhancement. The intraconal fat is free of inflammation. No orbital tumor is observed. The optic chiasm and optic tracts are unremarkable.
1.Moderately advanced chronic small vessel and lacunar ischemic disease. No evidence of any acute brain parenchymal abnormality is seen.2.Unremarkable evaluation of the orbits with no evidence of any orbital tumor or other specific findings to account for the patient's symptoms.