39 years Female (DOB: 5/6/1977)Reason: please look for hallmarks of transverse myelitis, stroke, MS, meningitis History: left sided hypoesthesia below C3-4levelPROVIDER NAME: JACQUELINE T. BERNARD JACQUELINE T. BERNARD MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a vague signal hyperintensity in the right pons and medulla identified on the axial T2 and coronal T2 images which is nonspecific. It is not readily appreciated on the FLAIR. There isNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is dislocation at the left temporomandibular joint. This was also present on prior exams. There is an old healed fracture at the left mandibular head.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are identified in the cervical spine. There is some multilevel disc desiccation present.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina. Some endplate uncovertebral osteophytes are present at C4-5 bilaterally with associated narrowing of the right neural foramen.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Some vague signal abnormality is present in the right pons and medulla. This is of uncertain significance. It is conceivable that it could represent a form of demyelination. Please correlate clinical symptoms. A contrast enhanced exam may help further evaluate this.2.No abnormal lesions are present in the cervical spinal cord to suggest cervical spinal cord demyelination.3.There are some mild encroachment of the right-sided exiting nerve roots at C4-5 related to osteophytes.4.Chronic fracture of the left mandibular head with dislocation at the left temporomandibular joint.