求助 !!！ Orbit MRI 顯示 爸爸 左眼 視神經周圍 長了一個Mass ，嚴重麽？

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.             

 

所有跟帖： 

• 先吃中藥對症治療一下救個急，要是頭暈消除了，將來就隻是觀察這mass變不變大就行了，現在估計沒人可以給你個準數。 -kai2002- ♂ (0 bytes) () 04/20/2022 postreply 23:42:33

• 應該去看眼科或者神外. -5181- ♂ (0 bytes) () 04/21/2022 postreply 05:55:27

• 第二個impression 的第三點，不是提到懷疑是 benign lesion 嗎？你不要急啊 -這年頭誰怕誰- ♀ (0 bytes) () 04/21/2022 postreply 09:47:56

• 看過眼科嗎？ -落花飄零- ♀ (0 bytes) () 04/21/2022 postreply 09:58:59

• 眼科看過了，左眼有視野缺損 -兩朵茉莉花- ♀ (207 bytes) () 04/21/2022 postreply 10:55:41

• Neurology Surgery 還沒看，打算去約 -兩朵茉莉花- ♀ (268 bytes) () 04/21/2022 postreply 10:57:20

• 去眼科看看 -north88- ♀ (149 bytes) () 04/22/2022 postreply 15:32:27