Info Case Images View Images / Launch Visage Case Notes History 30-year-old female present to the ER with right eye vision loss for 3 days. Exam T1 and T2 weighted images were done in the axial coronal plane with high-resolution techniques focused on the orbits and anterior and visual pathways. These include fat-suppressed and images following the intravenous administration of a paramagnetic contrast agent. Prior Study None View Reference Material
Section 1 Submit Findings Case097 Findings Orbit, sinonasal, cavernous and skull base There is primary sinonasal, bone or skull base rather than a primary orbital disease process that might be causative and producing the patient’s signs and/or symptoms related to the orbit. Yes No The pre-septal soft tissues including the lacrimal sac are abnormal. Yes No The lacrimal gland is abnormal. Yes No The bones and bony margins of the orbit including all component parts of the sphenoid bone are abnormal. Yes No There is a structural abnormality or infiltrating process of the extraconal or intraconal compartments of the orbit. Yes No The extraocular muscles appear to be swollen or otherwise abnormal. Yes No The orbital apex and superior orbital fissure are infiltrated, edematous or otherwise abnormal. Yes No There is enlargement and/or thrombosis of the superior, inferior or other orbital veins. Yes No There is evidence of cavernous sinus thrombosis and/or inflammatory morphologic features in the cavernous sinus or para-cavernous region. Yes No Eye Proptosis is present. Yes No The optic nerve is stretched in appearance. Yes No The posterior aspect of the globe is tented in appearance. Yes No Signs of tension orbit are present. Yes No The uveal and scleral components of the globe are swollen or enhancing abnormally. Yes No There is a hemorrhage or other abnormality causing a detachment of the choroid, hyaloid membrane and/or retina. Yes No The optic disc region is abnormally swollen or enhancing. Yes No The vitreous body is abnormal in appearance. Yes No The anterior segment structures including the lens are abnormal in appearance. Yes No Signs of endophthalmitis are present. Yes No Optic nerve/sheath and chiasm The optic nerves and/or optic sheaths appear abnormal in size. Yes No The optic nerves appear otherwise abnormal. Yes No There is abnormal enhancement of the optic nerves and/or of the optic sheath. Yes No There is a structural abnormality or infiltrating process (especially around the optic sheath) of the intraconal compartment of the orbit. Yes No There is a compressive lesion or infiltrative process present anywhere along the course of the optic nerves, optic chiasm or optic tracts before entering the brain. Yes No There is a compressive lesion or infiltrative process present in the cavernous sinus or para-cavernous area. Yes No There is evidence of an aneurysm or carotid cavernous fistula present. Yes No There is abnormal meningeal or other enhancement of the optic chiasm, optic nerves or other structures in the suprasellar and/or chiasmatic cistern. Yes No There is generalized abnormal meningeal enhancement. Yes No Brain There are intra-axial or extra-axial abnormalities of the brain that might be related to the orbital pathology. Yes No There is evidence of obstructive or communicating hydrocephalus. Yes No
