New onset left retro-orbital headaches. Brain MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered foci of T2 hyperintensity in the cerebral white matter. 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 a small left maxillary sinus retention cyst.Brain MRA: The bilateral opthalmic arteries are not very well-delineated, likely due to technical factors. Otherwise, there is no evidence of significant steno-occlusive lesions or cerebral aneurysms.Orbits MRI: There are bilateral lens implants. Otherwise, the bilateral globes, optic nerves, lacrimal glands, extraocular muscles, and orbital fat are unremarkable. There is no evidence of intraorbital mass lesions.
1. Scattered foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. The bilateral opthalmic arteries are not very well-delineated, likely due to technical factors. Otherwise, no evidence of significant steno-occlusive lesions or cerebral aneurysms.3. No evidence of intraorbital tumors. 