Diminution of vision in left eye with pain; macular edema on clinical examination, visual acuity in left eye 6/36 on the Snellen scale.
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Thickening with enhancement involving outer aspect of left posterior sclera with mild inflammatory stranding in orbital fat and possible extension to optic nerve sheath.
Right orbit including optic nerve appears unremarkable. The brain parenchyma is unremarkable.
Cerebellum, brain stem and pituitary gland are normal.
Lateral, third and fourth ventricles are normal in size, shape and position.
Basal cisterns, fissures and sulci are normal.
Major signal void areas of brain are normal.
Findings are consistent with posterior scleritis.