33 years, Male, paresthesias, new facial symptoms. Brain: Brain parenchyma appears within normal limits without evidence of demyelinating lesions in the brain. Specifically, no pontine lesions are appreciated along the trigeminal nerve root entry zones. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved. Dedicated orbital sequences were not obtained but orbits appear grossly unremarkable. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Cervical Spine: No abnormal signal in the cervical cord to suggest demyelinating disease. The cervical vertebral bodies are appropriate in height. Alignment is maintained. No fractures are identified in the cervical spine. No suspicious bony lesions are identified in the cervical spine. There is no significant spinal canal or neural foraminal stenosis at any level in the cervical spine. Paraspinous soft tissues are unremarkable.
No evidence of demyelinating disease involving the brain or cervical cord.