 There is no diffusion abnormality. There are many punctate and oval T2/FLAIR hyperintense foci within the periventricular white matter, brainstem, and cerebellum. Some of these are oriented perpendicular to the long axis of the lateral ventricles. A lesion within the right posterior parietal lobe demonstrates corresponding T1 hypointensity. There is no significant mass effect, midline shift or herniation. No abnormal enhancement is identified. The ventricles and sulci are are prominent age. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.MRA HEAD
1.Multiple T2/FLAIR hyperintense foci within the white matter including involvement of the cerebellum, suspicious for demyelinating disease. There is mild T1 burden and moderate T2 burden of disease, with infratentorial involvement. No evidence of acute infarct.2.Patchy T2 hyperintensity within the cervical spinal cord, probably also demyelinating disease.3.Mild cervical spondylosis.4.Normal MRA of the head and neck.