25 years year-old Female. Per EMR: recent urinary retention, initially after endometrial ablation, then worsened after lumbar puncture. Evaluate for demyelinating disease.INDICATIONS: Reason: Eval for demyelinating disease History: urinary retention and paresthesias. Brain: Examination is limited to sequences per demyelinating disease protocol. No FLAIR hyperintense lesion is seen in the brain parenchyma to suggest demyelinating disease. Brain parenchyma appears grossly unremarkable. No intracranial mass or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a small right maxillary retention cyst. The orbits, skull, and scalp soft tissues are grossly unremarkable.Cervical spine: There is no cord signal abnormality to suggest demyelinating disease. The craniovertebral junction appears within normal limits. There is mild loss of usual lordosis of the cervical spine, which could be secondary to positioning. Alignment is otherwise maintained. The cervical vertebral bodies and disc spaces are appropriate in height. There is no significant spinal canal or neural foraminal stenosis at any level. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
No evidence of demyelinating disease in the brain or cervical cord.