She has lost 30. On physical exam, she is obese. Vital signs are normal. Funduscopic exam shows bilateral disc margin blurring with a flame hemorrhage in the right. Pupils are equally reactive.
Visual fields are full on finger confrontation.
There is a question of mild lateral rectus weakness on the right. The rest of the cranial nerves are normal as is her strength, sensation, and reflexes. There is no Babinski. Coordination and gait are intact. CT of the head is normal.