History of ADEM, new bladder complaints Brain:Brain parenchyma appears within normal limits. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. 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. Spine:No abnormal T2 signal within the cord is seen. No abnormal parenchymal or meningeal enhancement is seen. The cord caliber is normal throughout. The conus terminates at T12-L1 which is normal. The cauda equina appears to be free of abnormal enhancement or signal intensity. Spinal alignment is within normal limits. Vertebral body heights and intervertebral disk spaces are maintained. Marrow signal characteristics are within normal limits. No central spinal stenosis or neuroforaminal compromise is identified.
1.MRI of the brain is within normal limits. No new lesions or abnormal parenchymal or meningeal enhancement.2.MRI of the spine demonstrates no cord signal abnormality or abnormal enhancement within the spinal canal. In particular lumbar spinal canal demonstrates no abnormal thickening or enhancement involving the cauda equina or extrinsic spinal canal stenosis. If there is significant suspicion for an active inflammatory process, further evaluation with lumbar puncture can be considered.