Female, 45 years old, with sensory disturbance and a spinal lesion at the C3 level on prior cervical MRI. Assess for demyelinating lesions. Several small T2 hyperintense lesions are evident within the periventricular white matter. There are 4-5 definite lesions and perhaps several more questionable lesions or areas of ill-defined T2 signal abnormality. One or two of the lesions demonstrate a radial morphology with respect to the ventricles.No associated mass effect is seen. No pathologic enhancement is detected. No parenchymal edema is identified on this examination.There is no evidence to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricular system is within normal limits in size.Partially visualized on the sagittal FLAIR images is a spinal cord lesion at the C3 level.Calvarial marrow is slightly lower in signal than what is typically seen, but this can be within the range of normal variation and no worrisome features are identified.
Multiple small and/or ill-defined periventricular white matter lesions are identified, some showing morphology compatible with demyelinating disease.