Clinical question: Evaluate for abnormality. Evaluation of the neural axis. Signs and symptoms: Complains of headaches, numbness and tingling in areas around body (left leg/calf, pelvis). Nonenhanced lumbar MRI:Negative diffusion weighted series.The is normal anatomical development and morphology of brain. There is normal signal intensity of brain on all MRI sequences. The cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination is within normal.The signal void of major intracranial branches are identified. The signal intensity of the venous sinuses are unremarkable.Unremarkable images through the orbits.Calvarium, skull base and scalp are unremarkable.All paranasal sinuses, bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal patterns.Nonenhanced thoracic MRI:There is normal anatomical development of the vertebral column.There is normal anatomical alignment of the vertebral column with normal signal intensity on all MRI sequences.There is no clinically significant degenerative disease of the spine and without evidence of spinal canal or neural foraminal compromise at any level.There is normal signal intensity and caliber of the thoracic cord.There is no detectable para spinal soft tissue abnormality.
1.Negative nonenhanced brain MRI.2.Negative nonenhanced MRI of the thoracic spine.