Right sided tinnitus, hearing loss, HA, LAN. There are multiple, greater than 10 foci of T2 hyperintensity in the cerebral white matter. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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. There is a defect in the left lamina papyracea with orbital fat herniation.
1. Findings suggestive of a demyelinating process, such as multiple sclerosis.2. A defect in the left lamina papyracea with orbital fat herniation may be due to prior fracture or developmental in nature.