PMC7745643_01
Post-Gd axial T1-weighted MR image with fat saturation shows enhancement of bilateral posterior sclera extending to the adjacent optic nerve sheath (arrows); findings are consistent with scleritis. Also noted is mild ill-defined enhancement in retro-conal fat (arrowheads), consistent with mild post-septal cellulitis.
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F1
Despite high-dose steroids, the patient progressed to NLP vision in the contralateral left eye, and repeated MRI demonstrated interval development of acute left optic nerve ischemia and bilateral intra-orbital inflammation (Figure 1 (Fig. 1)).