27 years, Female, increased deep tendon reflexes, loss of pin in arms and thorax, fatigue. Evaluate for multiple sclerosis. BRAIN: Brain parenchyma appears within normal limits without findings to suggest demyelinating disease in the brain. No evidence of parenchymal signal abnormality. 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. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. CERVICAL SPINE: Examination is mildly motion degraded however no convincing cord signal abnormality is seen to suggest demyelinating disease. The cervical spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. THORACIC SPINE: Examination is mildly motion degraded however no convincing cord signal abnormality seen to suggest demyelinating disease. The thoracic spine is in normal alignment. The vertebral body and disk heights are well maintained. No worrisome focal marrow signal abnormality is appreciated. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
Brain, cervical, and thoracic MRI studies are within normal limits without findings to suggest demyelinating disease.