Multiple sclerosis or NMO: fatigue. Brain: There are multiple, grater than 10, scattered cerebral white matter T2 hyperintense lesions. Some of the lesions are also T1 hypointense. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable, aside from scattered areas of focal fat. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are small left renal cysts.
1. Findings suggestive of intracranial multiple sclerosis.2. No evidence of spinal cord lesions.