This is in a 20 year old female patient complaining of headaches. The optic nerves are edematous. She well see her neurologist and get an MRI and a lumbar puncture to assess CSF pressure and rule out any CNS lesions that could cause brain pressure to increase. Most likely this is due to pseudotumor cerebri and she will likely be administered oral carbonic anhydrase inhibitor medication and institute a weight loss goal. If the diagnosis changes, then this post will be updated.