Female, 26 years old, with intermittent right-sided visual changes, and tingling in the right arm and right leg. Evaluate for multiple sclerosis lesions. Brain:Brain parenchymal morphology is within normal limits. No evidence of restricted diffusion or any other focal signal abnormality is seen. No pathologic parenchymal or extra-axial enhancement is observed. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra axial fluid collections. The ventricles are normal in size and morphology.Orbits:The globes are symmetric and round. The extraocular muscles show normal caliber and pattern of enhancement. The optic nerves are not enlarged and are free of pathologic signal alteration and enhancement. No intraconal abnormalities are seen.Cervical spine:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No marrow replacement, edema or pathologic enhancement is seen. The visualized spinal cord shows normal signal intensity and morphology. No focal cord lesions or any pathologic cord or leptomeningeal enhancement is observed. The intervertebral discs are preserved. No spinal canal or foraminal stenosis is detected.
Unremarkable evaluation of the brain, orbits and cervical spine with no specific findings which would account for the patient's symptoms.