Female, 23 years old, with multiple sclerosis and paresthesias. Brain:Numerous foci of T2 hyperintensity are seen within the juxtacortical and periventricular tissues. These lesions demonstrate mild to moderate T1 hypointensity, particularly a large cluster of lesions along the left ventricular atrium. The brainstem and cerebellum are spared.No evidence of parenchymal edema or mass effect is seen. No abnormal extra-axial fluid collections are detected. Ventricular size and morphology are within normal limits. Overall brain volume is relatively well-preserved.Spine:Spinal cord signal intensity and morphology are within normal limits. At no point is any focal cord lesion suspected. No epidural abnormalities are seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. The intervertebral discs are preserved. The spinal canal and neural foramina are patent.
1.Multiple supratentorial lesions are seen compatible with demyelinating disease.2.No specific evidence of demyelinating disease is seen in the spinal cord.