Visual loss in the left eye (lateral hemifield>medial) in the setting of recent (corrected) HTN emergency and labile blood sugars. There are bilateral lens implants. The orbital structures are otherwise grossly unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity and small areas of encephalomalacia in the right cerebellar hemisphere, right thalamus, right pons, and bilateral basal ganglia. 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. The skull and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
1. Aside from bilateral lens implants, the orbital structures are otherwise grossly unremarkable.2. Small chronic lacunar infarcts in the right cerebellar hemisphere, right thalamus, right pons, and bilateral basal ganglia and a background of probable chronic small vessel ischemic disease.3. No evidence of intracranial hemorrhage, mass, or acute infarct. 