69 years Female (DOB: 3/2/1947)Reason: rule out demyelinating lesion History: LUE and LLE weakness and paresthesiasPROVIDER NAME: MAHESH PADMANABAN MAHESH PADMANABAN MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing lesions are appreciated within the brain parenchyma.There are periventricular white matter lesions present without specific lesions in the corpus callosum. These are bright signal on FLAIR MRI.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Incidental note is made of partial empty sella.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.No demyelinating lesions are appreciated in the cervical spinal cord.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.There are degenerative changes present cervical spine without significant compromise to spinal canal or exiting nerve roots.