Male, 31 years old, with stiff legs and dizziness. Evaluate for multiple sclerosis. Brain:Numerous periventricular and, to a lesser degree, juxtacortical T2 hyperintense, T1 hypointense lesions are evident, many of which are oriented radially with respect to the ventricles. Some involve the corpus callosum or contact the callososeptal junction. Scattered lesions are also seen within the brainstem and cerebellum.No edema or mass effect is seen. No intracranial hemorrhage or any abnormal extra axial fluid collection is detected. Ventricular size and morphology are within normal limits. Brain parenchymal volume is grossly preserved.Cervical spine:Multiple patchy and ill-defined areas of abnormal spinal cord T2 hyperintensity are seen. The lesions are primarily evident beginning at C3 and continuing through C6.Spinal alignment is grossly anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen.C2-3: Left facet arthropathy. Mild left foraminal narrowing. C3-4: Facet arthropathy. Mild bilateral foraminal narrowing. C4-5: Facet arthropathy. Small left paracentral disc protrusion. No significant spinal canal or foraminal compromise. C5-6: Facet arthropathy. Tiny central disc protrusion. Moderate right foraminal narrowing. C6-7: Facet arthropathy. Mild generalized posterior disc-osteophyte complex formation. No significant spinal canal compromise. Mild bilateral foraminal narrowing. C7-T1: No significant spinal canal or foraminal compromise.
1.Multiple lesions are evident within the cerebral hemispheres, brainstem and cerebellum suggestive of demyelinating disease.2.Multiple lesions are also seen within the visualized spinal cord also suggestive of demyelinating disease.3.Mild multilevel degenerative findings are evident in the cervical spine as discussed above.