Intermittent paresthesias. Evaluate for demyelination. Brain:Brain parenchyma is essentially within normal limits for age. There are two tiny T2 hyperintense foci in the subcortical right frontal white matter which are nonspecific. There is no other parenchymal signal abnormality lesion. Corpus callosum is also preserved in volume and signal. There is no abnormal signal along the callosal septal interface. There is no brainstem or cerebellar lesion. The ventricles and other CSF containing spaces are normal in size. The major intracranial vessels are patent.The orbits are normal. Mastoid air cells and middle ear cavities are clear. The paranasal sinuses are grossly clear.Cervical Spine:The cervical spinal cord down and upper thoracic cord to the T4-T5 level shows normal morphology and signal. Spinal alignment is anatomic. Vertebral body heights are preserved. Bone marrow signal is benign. The disc heights are also preserved. There is no significant spinal canal or neural foraminal stenosis at any level.
1.Brain MRI is essentially unremarkable. There are two tiny right frontal white matter lesions which while nonspecific are not particularly suggestive of demyelinating disease.2.There is no cervical spinal cord abnormality to suggest demyelinating lesion. 3.No spinal canal or neural foraminal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.