Transient loss of vision in left eye (amaurosis fugax), blurring in right eye. History of lupus. Orbits: The bilateral globes and ocular adnexa, optic nerves, and optic chiasm are unremarkable. There is no evidence of intraorbital mass. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild nonspecific 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 tiny outpouchings in the region of the left posterior communicating artery are better depicted on the prior CTA. The skull and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the bilateral maxillary sinuses.
1. Unremarkable orbit MRI.2. No evidence of acute intracranial hemorrhage, mass, or acute cerebral infarction.3. Unchanged nonspecific mild cerebral white matter lesions.