Bilateral papilledema on ophthalmic exam. There appears to be mild protrusion of the bilateral optic nerve discs, although the exam is not optimized for assessment of the orbits. There is no gross orbital mass. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal intracranial enhancement. There is cavum septum pellucidum and vergae. There is no midline shift or herniation. The major cerebral flow voids are intact. There are postoperative findings related to left mastoidectomy, without gross lesions in this region. There are bilateral small maxillary sinus retention cysts.
Apparent mild protrusion of the bilateral optic nerve discs related to papilledema, although the exam is not optimized for assessment of the orbits. No evidence of intracranial hemorrhage, mass, or acute ventriculomegaly, aside from cavum septum pellucidum and vergae. 