72-year-old female with decreased vision. Evaluate for etiology of retinal edema. MRI brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild progression of the periventricular and subcortical T2/FLAIR hyperintensities which is nonspecific but likely related to small vessel ischemic disease. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.MRI orbits: Motion limited exam.There is abnormal bilateral signal and thickening along the posterior aspect of the globes with T2 hyperintensity and mild T1 heterogeneity but no abnormal susceptibility to indicate hemorrhage. The bilateral nature and configuration is suggestive of bilateral retinal attachment. The optic nerves are normal in size and signal intensity, and are symmetric bilaterally. No retrobulbar mass, chiasmatic mass, or parasellar abnormality is seen. Extraocular muscles are unremarkable.
1.Findings suspicious for bilateral retinal detachment. Please correlate with an ophthalmoscopic exam.2.No evidence of intracranial hemorrhage, mass, or acute infarct. 3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. This has progressed mildly since the prior exam from 12/2008