Re: Eye/orbit pain for a few months, please help



On May 5, 7:51 pm, ns66...@xxxxxxxxx wrote:
Hi, I tried cephalexin for 10 days and sudafed for 6 days, it didn't
seem to cure it, I still feel the pain. so I went to a MRI imaging
center and did MRI 1.5T for orbits and brain. here is the report:

The ventricles and sulci are within normal limits. The flair imaging
demonstrates a small hyperintensity lesion in the right frontal
subcortical white matter. the brain parenchyma is otherwise normal in
signal intensity and configuration. No acute hemorrhage, mass lesion
or mass effect is demonstrated intracranially. the patient has septum
pellucidum, normal variant. there is no extraaxial collection. the
sella is normal in size. the craniovertebral junction is normal. the
internal carotid arteries and basilar artery show normal flow void
signal intensity.

the globes are normal in size and configuration. the optic nerves are
normal in size, course and signal intensity. the extraocular muscles
and retrobulbar fat are unremarkable bilaterally. the optic chiasm is
intact.

there is mild mucosal thickening of the bilateral ethmoid, frontal
and maxillary sinuses compatible with chronic sinusitis. the right
maxillary sinus demonstrates a polyp versus retention cyst measuring
1.8x.1.8 cm in the inferior all. there's no evidence of air-fluid
level. the osteomeatal complex is patent bilaterally. the nasal
septum is midline. the nasal cavity is unremarkable.

IMPRESSION:
1. single small right frontal white matter lesion is nonspecific and
may represent small vessel ischemic disease or gliosis.
2. normal variant septum pellucidum
3. chronic paranasal sinusitis.
4. polyp versus retention cyst in the right maxillary sinus.

I don't understand much about this report, seems like there's a
sizable tumor that need be removed? is that the reason I feel the
pain? if it's I am happy at least I know what's the cause.
what kind of doctor do I need to see? a surgeon?


It seems like sinusitis, so the answer is almost obvious: ENT.


.



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