Visual complaints and unsteadiness with history of esophageal MALT. Per EPIC notes: "Transient binocular visual loss without return to baseline. The symptom is quite atypical. Due to the occipital region pain, scalp tenderness, and jaw pain, it raises the possibility of a temporal arteritis, although with this amaurosis fugax would usually be monocular. It is possible to have posterior ischemic optic neuropathy (PION) that cannot be detected on funduscopic examination." MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild, scattered, nonspecific cerebral white matter T2 hyperintensity, which may represent chronic small vessel ischemic disease. 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 orbits, skull, and scalp soft tissues are grossly unremarkable. There is moderate left maxillary sinus mucosal thickening, mild right maxillary and left sphenoid sinus mucosal thickening, and fluid within the right sphenoid sinus.MRA: There is no evidence of significant steno-occlusive intracranial lesions. The bilateral opthalmic arteries appear to be intact, at least proximally. There is no evidence of cerebral aneurysms.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. No evidence of significant steno-occlusive intracranial lesions. In particular, the bilateral opthalmic arteries appear to be intact, at least proximally. 3. Findings suggestive of acute sinusitis.