Reason: TRANSVERSE MYELITIS History: WEAKNESS. MRI brain:There is no evidence of intracranial hemorrhage or mass. There is a 7 mm nonenhancing focus of diffusion restriction and increased T2 signal immediately adjacent to the occipital horn of the left lateral ventricle. 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 and paranasal sinuses are grossly unremarkable. Multiple scalp lesions likely represent sebaceous cysts.MRI cervical spine:Alignment is anatomic. Vertebral body heights are intact. Multilevel disc desiccation with minimal degenerative disc disease at C6-C7. No abnormal signal within the cord. No abnormal signal within the cord. C2-C3: No significant spinal or neuroforaminal stenosis. C3-C4: No significant spinal or neuroforaminal stenosis. C4-C5: No significant spinal or neuroforaminal stenosis. C5-C6: No significant spinal or neuroforaminal stenosis. C6-C7: Mild posterior disc osteophyte complex without significant central or neural foraminal stenosis. C7-T1: No significant spinal or neuroforaminal stenosis.
1.Small focus of diffusion restriction in the white matter adjacent to the left occipital horn likely represents a focus of ischemia, although early demyelinating disease may also be considered.2.Minimal degenerative changes of the cervical spine without evidence of demyelinating disease or other cord pathologies.