Female, 40 years old, with facial paralysis and leg numbness. Evaluate for demyelination. Brain:The cerebral and cerebellar hemispheres and brainstem show normal signal intensity and morphology. No restricted diffusion is seen.No evidence of parenchymal edema, mass, or mass effect is seen. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. The ventricular system is normal in caliber and morphology. Signal intensity of the bone marrow is unremarkable. No significant abnormalities of the paranasal sinuses are detected.C-spine:Alignment is anatomic. Vertebral body morphology and signal characteristics are normal.Allowing for mild motion degradation, the visualized spinal cord demonstrates normal signal intensity and morphology. No focal lesions are detected.Minimal degenerative disc disease is present at C6-7 with a small right paracentral posterior disc osteophyte complex. No significant spinal canal or neuroforaminal stenosis is detected at any level.
No lesions are evident in the brain or cervical spine which would be suggestive of demyelinating disease.