爸爸今年 76歲。 3/18/2022 因為劇烈頭暈，去了ER。ER做了三個 MRI， Brain/Neck/Orbit，都顯示 他的左眼 視神經 周圍長了一個 1.2 X 1.1 cm 的mass。現在他的左眼視力模糊，已經有2個月左右。 他已經去看過 neurologist(神經內科), 該醫生說 他不能handle, 他給refer to UCSF Neurology Clinic。但是UCSF Neurology最早的appointment 也要等到 10月份。
請問群裏的專家， 我爸 左眼 到底是 長了個 什麽東西？ 良性/惡性？ 血管瘤？ 這個情況 危急 麽？ 會有什麽危險? (左眼失明，血管瘤破裂顱內出血, etc？ )
我在考慮是 否需要 帶我爸 回國去看醫生。 但是現在國內隔離政策，估計也要等好多天，才能看上醫生。
萬分感謝！！！！
MRI BRAIN WO IV CONTRAST - Details
IMPRESSION:
1. No acute intracranial abnormality.
2. No flow-limiting stenosis or aneurysm.
3. Left intraconal T2 hyperintense well circumscribed rounded mass measuring 1.2 x 1.1 cm without associated ASL hyperperfusion abutting the optic nerve and inferior rectus muscle. Findings likely represent a benign lesion such as venous malformation. Recommend dedicated MRI of the orbits with contrast for further assessment.
4. Left sphenoid sinus mucosal thickening and partial opacification with T2 hyperintense and T1 hypointense material, likely representing fungal colonization.
MR NECK ANGIOGRAPHY WO IV CONTRAST - Details
IMPRESSION:
1. No acute intracranial abnormality.
2. No flow-limiting stenosis or aneurysm.
3. Left intraconal T2 hyperintense well circumscribed rounded mass measuring 1.2 x 1.1 cm without associated ASL hyperperfusion abutting the optic nerve and inferior rectus muscle. Findings likely represent a benign lesion such as venous malformation. Recommend dedicated MRI of the orbits with contrast for further assessment.
4. Left sphenoid sinus mucosal thickening and partial opacification with T2 hyperintense and T1 hypointense material, likely representing fungal colonization.
MR ORBIT W AND WO IV CONTRAST - Details
IMPRESSION:
1. Enhancing left intraconal T2 hyperintense well circumscribed rounded mass abutting the optic nerve and inferior rectus muscle. Findings likely represent a benign lesion such as a vascular cavernous malformation.
2. Normal MRI appearance of the right orbit.
