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What Does This MRI Report Indicate?
Question: There is a lobulated T2 hyperintense lesion with stippled enhancement within the left intraconal orbit, with an internal fluid level. Foci of T2 hypointensity may represent phleboliths. The focus measures 14 x 15 mm, and there is mild downward mass
effect on the left optic nerve.
effect on the left optic nerve.
Brief Answer:
Space Occupying Lesion just behind your Left Eye compressing Optic Nerve
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you have done MRI of Brain and there has been a Lobulated T2 hyperintense lesion with stippled enhancement within the left intraconal orbit, with an internal fluid level. Foci of T2 hypointensity may represent phleboliths. The focus measures 14 x 15 mm, and there is mild downward mass
From What you have written, it appears to be a Space Occupying Lesion within your Left Orbit, just behind your Left Eye, pushing on the nerve which carries signals from your eye to the brain. You have not asked any Specific Question.
Can you please give me more details for me to proceed
1. What were your Complaints and symptoms
2. Did you have visual disturbances in your left eye
3. Did you have double vision
4. Have you undergone Visual Charting
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Space Occupying Lesion just behind your Left Eye compressing Optic Nerve
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you have done MRI of Brain and there has been a Lobulated T2 hyperintense lesion with stippled enhancement within the left intraconal orbit, with an internal fluid level. Foci of T2 hypointensity may represent phleboliths. The focus measures 14 x 15 mm, and there is mild downward mass
From What you have written, it appears to be a Space Occupying Lesion within your Left Orbit, just behind your Left Eye, pushing on the nerve which carries signals from your eye to the brain. You have not asked any Specific Question.
Can you please give me more details for me to proceed
1. What were your Complaints and symptoms
2. Did you have visual disturbances in your left eye
3. Did you have double vision
4. Have you undergone Visual Charting
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Raju A.T
I wanted to know treatnent options. Thus is result for my 6 year old daughter who has precicioys puberty and blurry visuon in left eye
Brief Answer:
If Vision is Affected, IMMEDIATE Surgery may be needed
Detailed Answer:
Dear Madam
Welcome Back
Regarding the Intra Orbital Space Occupying Lesion
(a)
If Patient has Double Vision, or If there are disturbances in Vision in form of field defect or visual acuity, or if there is pain in Left Eye IMMEDIATE SURGERY is needed. The Surgery can be done either by Craniotomy (Frontal Craniotomy and Approaching through Roof of Orbit) or Endoscopically or through Orbital Approaches
(b)
If there is no double vision and if there is no disturbances in vision and if there is no pain, we can try conservative methods for three weeks and check whether the lesion reduces in size
In your case, there is Blurry Vision in Left Eye. So Immediate Surgery may be the best option
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
If Vision is Affected, IMMEDIATE Surgery may be needed
Detailed Answer:
Dear Madam
Welcome Back
Regarding the Intra Orbital Space Occupying Lesion
(a)
If Patient has Double Vision, or If there are disturbances in Vision in form of field defect or visual acuity, or if there is pain in Left Eye IMMEDIATE SURGERY is needed. The Surgery can be done either by Craniotomy (Frontal Craniotomy and Approaching through Roof of Orbit) or Endoscopically or through Orbital Approaches
(b)
If there is no double vision and if there is no disturbances in vision and if there is no pain, we can try conservative methods for three weeks and check whether the lesion reduces in size
In your case, there is Blurry Vision in Left Eye. So Immediate Surgery may be the best option
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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