History of T11 spinal lesion, urinary incontinence and lack of direction. There is minimal periventricular and subcortical, as well as pontine white matter T2 hyperintensity. There is a prominent perivascular space in the right caudothalamic groove. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or mass effect. There are small left sphenoid and ethmoid sinus retention cysts. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Nonspecific white matter abnormality, which most likely represents chronic small vessel ischemic disease rather than demyelinating disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.