Patient with continual lightheadedness, evaluate for left eye proptosis There is no evidence of intracranial hemorrhage, mass, or acute infarct. Scattered periventricular and subcortical white matter T2/FLAIR hyperintense foci are seen which are nonspecific but likely represent mild chronic small vessel ischemic disease. The brain parenchyma appears otherwise unremarkable. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Mild chronic small vessel ischemic disease. 2. No evidence of acute infarct, hemorrhage, or intracranial mass effect. 3. No evidence of proptosis by imaging criteria as questioned. No retrobulbar mass.