Bilateral leg stiffening, left greater than right, hyperreflexia left patellar, lumbar spine WNL. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. There is a cavum septum pellucidum. There is otherwise no evidence of ventriculomegaly. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is a left maxillary sinus retention cyst.
1. No evidence of demyelinating lesions or encephalitis.2. No evidence of Chiari malformation.3. No evidence of intracranial hemorrhage, mass, or acute infarct. 