Visual loss. Rule out optic neuritis. There is no definite T2 hyperintensity or enhancement involving the bilateral optic nerves. There is questionable subtle increased T2 hyperintensity involving the posterior aspect of the intraorbital nerves, left relatively greater than right. No abnormal enhancement. Remainder of the bilateral orbital structures are unremarkable.The included parts of the brain are unremarkable as well. The sella turcica is expanded and near completely CSF filled with only thin rim of pituitary tissue along the floor of the sella. A 3 mm apparent triangular-shaped cystlike lesion at the junction between the infundibulum and the compressed pituitary may represent a benign entity such as a tiny pars intermedia cyst or Rathke's cleft cyst. There is deviation of the pituitary infundibulum to the right though without discrete intrasellar mass, otherwise. There is mild, scattered mucosal thickening in the paranasal sinuses.
1.There is no definite MRI evidence of optic neuritis. There is questionable subtle T2 hyperintensity involving the posterior intraorbital optic nerves, left relatively greater than right, which is of uncertain significance and possibly artifactual.2.Partially empty sella with rightward deviation of the infundibulum. This finding can be normal variant or associated with pseudotumor cerebri in the appropriate clinical setting. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.