sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzra Aslmn / M / 42 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Orbits.
CLINICAL PROFILE :
Operated for pseudotumor (HP confirmed in New York) in the left retrobulbar region and along the left optic nerve on 00.00.00.
At present, no vision in the left eye. Left seventh nerve paresis. No other complaints at present.
EXAMINATION :
M.R.I of the orbits was performed using the following parameters:
3 mm thick T1 Weighted and STIR coronal and axial images.
The brain was scanned with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The left optic nerve is probably atrophied and shows a hyperintense signal on the STIR images. There is no obvious mass lesion identified in the suprasellar cistern, cavernous sinuses, perichiasmatic region or in the left orbit. The left orbital fat shows normal signal. The left intraorbital muscles are unremarkable.
The visualized right orbit and right optic nerve are unremarkable.
Mucosal thickening is noted in the maxillary sinuses and the ethmoidal air cells. The right inferior nasal turbinate is hypertrophied.
The pituitary gland and the pituitary stalk are also unremarkable.
Screening images of the brain reveal a susceptibility artifact in the left frontal region, most likely the sequelae of a previous surgery. Prominence of the sulcal spaces in the left anterior temporal region is also noted, ? the sequelae of previous surgery.
The ventricular system and the basal cisterns are unremarkable. There is no midline shift.
IMPRESSION :
1. Post-operative status.
2. Left optic atrophy.
3. No obvious mass lesion is identified in the left orbit or in the cavernous sinuses/suprasellar region on this study.