Gait disorder with spasticity and a vibration level in mid thorax. Known lesion in cervical cord. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular and scattered bilateral cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. There may also be a few foci of T2 hyperintensity in the pons. There is cavum septum pellucidum and vergae. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Mild intracranial white matter abnormality is nonspecific and may represent chronic small vessel ischemic disease or demyelinating lesions, for example. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct. 