Eye pain, vision loss. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few punctate foci of T2 hyperintensity in the cerebral white matter, which appear to be similar to the exam from 2010. There is no abnormal intracranial enhancement. There appears to be a partially empty sella. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The slight swelling of the bilateral eyelids is better depicted on the recent orbit MRI.
1. Suggestion of a partially empty sella, which may be a manifestation of pseudotumor cerebri, along with mild prominence of the optic nerve sheath cerebrospinal fluid depicted on the recent orbit MRI, versus an normal variant. 2. A few punctate foci of T2 hyperintensity in the cerebral white matter, which appear to be similar to the exam from 2010, are nonspecific, but are not particularly reminiscent of multiple sclerosis. 3. No evidence of intracranial hemorrhage, mass, or acute infarct. 