Male, 25 years old, with paresthesias. Evaluate for MS. Brain:Numerous scattered white matter lesions are seen within the periventricular and juxtacortical regions, corpus callosum, the brainstem and cerebellum. Most of these lesions are associated with mild to moderate T1 hypointensity, but one lesion along the left cingulate gyrus is associated with marked T1 hypointensity.Brain parenchymal morphology is otherwise unremarkable. No significant mass effect or edema is detected. Parenchymal volume is relatively preserved. No evidence of any abnormal extra-axial fluid collection is seen. The ventricles remain normal in size and morphology.Cervical spine:Axial images are degraded by motion artifact. Nevertheless, a focus of T2 hyperintensity is seen within the right dorsal cord at T2-3. Additional foci are suspected within the left lateral cord at C4-5 and at C5-6.Spinal alignment is anatomic. Vertebral body height and morphology are normal. Marrow signal characteristics are unremarkable. No significant compromise of the spinal canal or neural foramina is seen.
Multiple scattered lesions are seen within the cerebral and cerebellar white matter as well as in the visualized spinal cord compatible with demyelinating disease.