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Age: 27

Sex: Male

Indication: Headache, history of AIDS

Save ("V")

Case #11


Findings

  • Right retinal detachment with enhancement of the displaced membranes and of the posterior aspect of the right globe
  • No evidence of acute infarct, hemorrhage, mass effect, or hydrocephalus
  • Few tiny T2/FLAIR signal hyperintensities in the cerebral white matter, which are nonspecific but not greater in number than expected for patient age


Diagnosis

  • Retinal detachment

Sample Report

Right retinal detachment with enhancement of the displaced membranes and of the posterior aspect of the right globe, which though nonspecific could relate to chorioretinitis. Recommend ophthalmology evaluation.

No evidence of acute intracranial abnormality.


Discussion

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Images

Left image: retinal detachment with the characteristic V-shaped appearance extending anteriorly from the optic disc to the 10:00 and 2:00 positions (red arrows). Right image: companion case of choroidal detachment with a more U-shaped configuration sparing the optic disc and extending beyond the 10:00 and 2:00 positions (yellow arrows).



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