19-year-old female with a history of NMO, SLE, on prednisone, presents with right eye blurry vision, decreased visual acuity for 2 days. Evaluate for new mass, lesion, or NMO flare. Brain: There are numerous areas of T2 hyperintensity within bilateral cerebral hemisphere, which have overall increased in extent compared to the prior exam, particularly in the right frontal and left parietal lobes. Additional unchanged lesions are present in the corpus callosum, the right cerebral peduncle, and right anterior medulla. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Orbits: There may be areas of high T2 signal in portions of the bilateral optic nerves versus artifacts. There is no evidence of orbital tumors. The globes and extraocular muscles are unremarkable bilaterally.
1.Interval progression of the intracranial demyelinating lesions.2.Possible demyelinating lesions in the optic nerves versus artifacts. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.