25 years, Male, right-sided pain. Check size of caudate for Huntington's disease and rule out MS. Brain: Brain parenchyma appears essentially within normal limits for age. There is a tiny focus of T2/FLAIR hyperintensity in the right precentral gyrus which is nonspecific. No lesions to specifically suggest demyelinating disease are appreciated. Basal ganglia including the caudate nuclei are symmetric and grossly normal in size. No evidence of abnormal mineralization is appreciated in the basal ganglia, brainstem, or cerebellum.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. There is an ovoid focus of ill-defined enhancement and susceptibility in the right frontal lobe, with also a linear component, with MR features compatible with both capillary telangiectasia and development of venous anomaly. There is subtle associated T2 hyperintensity. There is otherwise no abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Cervical Spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.Paraspinous soft tissue structures appear within normal limits.
1. Examination is essentially within normal limits for age. There is a tiny nonspecific focus of T2/FLAIR hyperintensity in the right frontal subcortical white matter. No findings to suggest demyelinating disease. No signal abnormality, volume loss, or iron deposition in the basal ganglia to suggest Huntington's disease by MRI.2. Incidentally seen is a right frontal lobe focus of ill-defined enhancement and susceptibility most compatible with a combined capillary telangiectasia and developmental venous anomaly.3. Cervical spine MRI is also within normal limits with no cord signal abnormality or evidence of spinal canal or neural foraminal stenosis.