Multiple myeloma and vision loss left eye. There is heterogeneously low T1 signal in the clivus and upper cervical spine. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Heterogeneously low T1 signal in the clivus and upper cervical spine may represent involvement by multiple myeloma.