Optic atrophy, bilateral, retinal detachments. Brain: 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 a right cerebellar hemisphere developmental venous anomaly. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There is moderate mucosal thickening and secretions within the left frontal, bilateral ethmoid, and right maxillary sinuses.Orbits: There appears to be mild diffuse atrophy of the bilateral optic nerves. There is no evidence of orbital mass lesions or abnormal enhancement. The globes, extraocular muscles, and orbital fat appear to be intact. The orbital wall appear to be grossly intact.
1. Apparent mild diffuse atrophy of the bilateral optic nerves, without evidence of compressive mass lesions.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 3. Findings suggestive of acute sinusitis.