 Exam is limited by patient motion.ORBITS: There is mildly increased fluid surrounding the left optic nerve especially distally compared with the right. The optic nerves are otherwise symmetric and normal in size and signal intensity. There is no chiasmatic mass or parasellar abnormality. There is no intraorbital mass or abnormal enhancement. The extraocular muscles are unremarkable. There are bilateral lens implants.BRAIN: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are multiple small patchy foci of T2 hyperintensity within the supratentorial and infratentorial white matter most compatible with chronic small vessel ischemic disease, as well as scattered chronic lacunar infarcts. 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 unchanged atelectasis of the left maxillary sinus. The skull, paranasal sinuses, and scalp soft tissues are otherwise unremarkable.
1.There is mildly increased fluid surrounding the left optic nerve compared with the right, a non-specific finding. The orbits are otherwise unremarkable. 2.Mild to moderate supratentorial and infratentorial chronic small vessel ischemic disease.