 Brain MRIMultiple scattered T2/flair high signal intensity lesions on bilateral periventricular white matter and deep white matter including bilateral corpus callosum. There is no evidence of abnormal enhancement on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical spine MRIThere is relatively well defined T2 high signal intensity lesion at the level of foramen magnum-C2 indicating possible demyelinating lesion.Diffuse bulging of discs with associated bilateral ligamentum flavum are seen at the level of C34, C45, C56 and C67 without evidence of spinal canal stenosis. No neuroforaminal stenosis is seen.There is normal cervical lordosis.The vertebral body height is preserved. Constellation of both brain and cervical spine MRI suggest demyelinating disease such as multiple sclerosis involvement of both brain and cervical spine.
1. White matter lesions and upper cervical spinal cord lesions indicate demyelinating disease such as multiple sclerosis involvement.2. No abnormal enhancement is seen. 