CASE HISTORY/CLINIC:
38-year-old female with loss of visual acuity on the right eye .


FINDINGS:
The T2-w image shows evidence of a dull hyperintense spotty lesion of the optic nerve on the right– in comparison with the left optic nerve the right optic nerve shows a discrete swelling that is also seen on T1-w. The postcontrast T1-w shows spotty contrast enhancement of the right optic nerve.

DIAGNOSIS:
Optic neuritis associated with disseminated encephalitis

DIFFERENTIAL DIAGNOSIS:
Optic glioma

 

 

web resources:

 

1) ACR Learning file
2) AWMF
3) Medicine worldwide
4) MRI-Library