34 year old female with face, arm and foot numbness. Evaluate for demyelinating disease. Brain MRI: There are no significant T2 foci within the periventricular and subcortical white matter. There is also no significant burden of T1 hypointense lesions. 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. There is mild bilateral maxillary mucosal sinus and ethmoid air cell thickening.Cervical Spine MRI: The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and 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. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
No intracranial or cervical spine lesions to suggest a demyelinating process.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.