 Brain: Several, at least 5, small foci of white matter T2 hyperintensities are noted scattered throughout the brain parenchyma some of which are in the periventricular region and some in the subcortical white matter. There is no associated mass effect. No evidence of restricted diffusion. None of these punctate lesions demonstrate enhancement.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. C-Spine: Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.
1.At least 5 very small foci of white matter signal abnormality are seen in the cerebral hemispheres. The morphology of these lesions is nonspecific but this is an atypical finding for a patient of this age and could represent demyelinating disease among other etiologies.2.Normal MRI of the cervical spine.