Reason: tremor, numbness and tingling. History of lupus. MRI brain:There is increased central T2 signal within the pons without associated diffusion restriction, mass effect, or susceptibility. No other parenchymal signal abnormalities are appreciated. There is no evidence of intracranial hemorrhage or acute infarct. An 8 mm pineal cyst is incidentally noted without mass effect. 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 and scalp soft tissues are grossly unremarkable. The paranasal sinuses are unremarkable.MRI lumbar spine:Vertebral body heights are within normal limits. Alignment is maintained. Bone marrow signal is benign. No abnormal signal within the cord or conus, which ends at L1. Disks are intact. T12-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1.Increased T2 signal within the central pons which may be related to prior osmotic demyelination. No abnormal signal in the basal ganglia is appreciated. Prior ischemia is also possible but less likely given the absence of significant white matter signal abnormality elsewhere in the brain. Remainder of the brain is unremarkable.2.Unremarkable lumbar spine MRI without significant spinal canal or neural foraminal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.