Female, 18 months old, with history of Guillain-Barre syndrome, presenting with nausea, asymmetric reflexes. Assess for transverse myelitis. Assess for an inflammatory process in the cerebellum. Brain:Brain parenchymal morphology is within normal limits. No areas of abnormal signal or enhancement are detected, including within the cerebellum. No edema or mass effect is observed. There are no findings to suggest intracranial hemorrhage or any abnormal extra-axial fluid collections. The ventricles are normal in size and morphology. The pattern of white matter myelination is appropriate for age.Spine:The previously seen T2 hyperintensity affecting the cervical spinal cord has resolved. In addition, the previously seen mild cauda equina enhancement has improved with at most minimal residual scattered enhancement. No focal spinal cord lesions are detected. No epidural abnormalities are seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No compromise of the spinal canal or neural foramina is detected. Atelectasis and/or patchy opacities are seen in the posterior lungs.
1.Unremarkable evaluation of the brain with no specific findings to account for the patient's symptoms.2.Abnormal signal intensity within the cervical spinal cord seen on the prior examination has resolved. No new focal spinal cord lesions are detected.3.Subtle enhancement of the cauda equina nerve roots seen on the prior examination has nearly completely resolved. At most, there may be minimal residual scattered enhancement but even this is equivocal.