Male, 24 years old, with scotoma and tingling. Assess for multiple sclerosis. The cerebral and cerebellar hemispheres and brainstem show normal signal intensity and morphology. No restricted diffusion is seen. No pathologic parenchymal or extra-axial enhancement is detected.No evidence of parenchymal edema, mass, or mass effect is seen. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. The ventricular system is normal in caliber and morphology. Dedicated imaging of the orbits is somewhat motion degraded. Within this limitation, no definite abnormalities of the optic nerves are detected. The extraocular muscles demonstrate normal morphology and pattern of enhancement. The globes are round and symmetric. No masses are identified.Signal intensity of the bone marrow is unremarkable. No significant abnormalities of the paranasal sinuses are detected.
Unremarkable examination of the brain and orbits allowing for motion degradation on many of the orbital sequences. In particular, no specific findings are seen to account for the patient's visual symptoms, and no evidence of any active demyelinating disease is detected.