History of diabetes, hypertension, blindness, presenting to the ED for evaluation of confusion/disorientation with slurred speech.. There is no evidence of intracranial hemorrhage, mass, or acute infarct. However, there is mild scattered cerebral white matter T2 hyperintensity without corresponding restricted diffusion. 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 and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening. There is bilateral intraocular silicone oil and a left superotemporal glaucoma drainage device.
1. Mild probable chronic small vessel white matter ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Bilateral intraocular silicone oil.