 Images are somewhat limited by patient motion. No abnormal mass or abnormal enhancement is seen. Specifically, a discrete choroidal mass is not identified. There is bilateral symmetric enhancement of the choroid and sclera bilaterally posteriorly, as well as the uvea. No abnormal signal intensity or inflammatory change is evident. The optic nerves appear diminutive in size with questioned STIR hyperintensity distally on the axial images. No retrobulbar mass, chiasmatic mass, or parasellar abnormality is seen. Extraocular muscles are unremarkable.There is partial visualization of the previously seen thin smooth dural thickening and enhancement especially along the frontal and temporal regions.
1. No overt evidence of a discrete choroidal mass. Symmetric thin enhancement of the choroid, sclera, and uvea bilaterally consistent with patient's history.2. Symmetric atrophy of the optic nerves with questioned abnormal signal in the distal portions of the nerve which may relate to chronic neuritis, versus artifact.3. Partial visualization of grossly similar smooth dural enhancement along the frontal and temporal lobes.