Metastatic breast cancer with worsening headaches and blurry vision (attention to orbits) History: worsening headaches and blurry vision. There is an infiltrative, enhancing lesion in the right retrobulbar region. There is a right superotemporal glaucoma drainage device with associated bleb and bilateral lens implants. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. 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 paranasal sinuses are grossly unremarkable. There is a probable Thornwaldt cyst that measures up to 14 mm. There is a 7 mm thick lipoma in the mid frontal scalp. There is a small skin excrescence along the left posterolateral upper neck.
1. An infiltrative lesion in the right retrobulbar region is compatible with metastatic disease. 2. No evidence of intracranial metastases.