Demographics:
56 years old, Male
Indication:
Right eye vision loss
Findings
- Restricted diffusion in the anterior intraorbital right optic nerve with associated signal hyperintensity on STIR
- No abnormal enhancement
- No evidence of acute intracranial infarct, hemorrhage, mass effect, or hydrocephalus
- Areas of T2/FLAIR signal hyperintensity in the bilateral caudate heads and bodies with patchy enhancement in both caudate heads
- Patchy T2/FLAIR signal hyperintensities in the bilateral subcortical and periventricular white matter
Diagnosis
Ischemic optic neuropathy
Sample Report
Findings concerning for ischemic right optic neuropathy. Recommend ophthalmology evaluation.
Likely late subacute bilateral caudate head infarcts superimposed on a background of chronic small vessel disease and remote lacunar infarcts.
No evidence of acute intracranial infarct, hemorrhage, mass effect, or hydrocephalus.
Discussion