Optic papillitis left eye, evaluate for multiple sclerosis and papillitis. ORBITS: There is mild asymmetric enlargement, increased T2 signal, and increased enhancement involving the intraorbital and intracanalicular portions of the left optic nerve. There is flattening of the left posterior globe. There is also mild associated restricted diffusion involving the intraorbital portion of the left optic nerve and occluding the optic nerve head. There is elevation of the left optic nerve head.There is also an ill-defined appearance of the right distal optic nerve head with questionable flattening of the optic disc without associated increased enhancement or abnormal signal. No intraorbital masses are identified. There is no chiasmatic mass or parasellar abnormality. The extraocular muscles are unremarkable.BRAIN: 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 a normal variant cavum septum pellucidum. There is no midline shift or herniation. The major cerebral flow voids are intact. Trace mucosal thickening is present within the paranasal sinuses. There is a small mucous retention cyst within the right maxillary sinus. Mild, homogeneously decreased T1 signal within the bone marrow most likely reflects normal red marrow in patient of this age.
1.Findings compatible with left optic neuritis.2.Additional findings raising the possibility of early right optic neuritis, recommend clinical correlation.3.No acute intracranial abnormality or evidence of cerebral demyelinating disease.