Clinical question: Structural brain lesion signs and symptoms: Weakness. Pre and post enhanced brain MRI:No acute intracranial process and negative diffusion weighted images.There is normal anatomical morphology of the brain parenchyma and with normal signal intensity on all MRI sequences.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.No detectable abnormal parenchymal, meningeal or calvarial enhancement.Normal visualization of nature intracranial arterial branches.Normal signal intensity and pattern of enhancement of intracranial venous sinuses.Slight prominence of the pituitary gland with normal pattern of enhancement is appropriate for patient's stated age of 33.Unremarkable images through the orbits and including axial fat sat post enhanced series.Normal signal intensity of all paranasal sinuses and bilateral mastoid air cells and middle ear cavities.
Unremarkable 3 and post enhanced brain MRI.