31-year-old female with right-sided numbness, tingling and intermittent loss of right eye vision. Evaluate for multiple sclerosis. MRI brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. 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.MRI C-spine:The craniovertebral junction appears within normal limits. There is straightening of the cervical spine but the alignment is maintained. The cervical vertebral bodies and disc spaces are appropriate in height. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. There is mild scattered neuroforaminal narrowing but no spinal canal compromise. The paraspinous soft tissue structures appear within normal limits.
No abnormal brain parenchymal or cervical spinal cord lesions to indicate a demyelinating process.