Vision loss, optic neuropathy both eyes. History of optic atrophy and glaucoma. Brain: There is diffuse bilateral optic nerve and optic chiasm atrophy. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged nonspecific mild scattered cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. 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 and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening. There is periapical enhancement associated with teeth # 2 and 10. There is a nonspecific 3 mm wide enhancing nodules in the right preauricular region.Orbits: There is diffuse bilateral optic nerve atrophy. There is no evidence of intraorbital mass lesions. The bilateral globes and extraocular muscles are unremarkable.
1. Diffuse bilateral optic apparatus atrophy, which may be attributable to chronic ischemic optic neuropathy or glaucoma.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 3. Dental disease.