Proptosis. There appears to be a diffusely prominent amount orbital fat bilaterally, with proptosis. Otherwise, the extraocular muscles do not appear to be enlarged. The optic nerves appear to be normal is signal and caliber. The lacrimal glands are unremarkable. There is no evidence of orbital tumors or abnormal enhancement. The periorbital soft tissues and paranasal sinuses are unremarkable. There is diffuse patchy cerebral white matter T2 hyperintensity.
1. Apparent diffusely prominent amount orbital fat bilaterally, with proptosis, may be related to dysthyroid orbitopathy, but no evidence of extraocular muscle enlargement. 2. Diffuse patchy cerebral white matter T2 hyperintensity may be related to chronic small vessel ischemia.