27-year-old female with question of demyelination. Neck pain and left upper extremity weakness. MRI brain: Some sequences are limited by patient motion artifact. Allowing for this limitation, there is no specific evidence of demyelinating lesion, mass, infarct, or pathologic enhancement. The ventricles and sulci appear normal for age. There is a small right maxillary polyp, otherwise the paranasal sinuses and orbits appear unremarkable.MRI cervical spine: There is straightening of the normal cervical lordosis which may be in part positional. Vertebral body heights and disc spaces appear preserved. The cervical cord appears normal in morphology and signal. The cervicomedullary junction appears unremarkable. There is no evidence of neuroforaminal compromise or spinal canal stenosis. There is no pathologic enhancement on postcontrast images.
1. No evidence of acute or chronic demyelinating disease in the brain or cervical spine. No specific findings to account for the patient's symptoms.2. No abnormal signal in the cervical cord. No significant spinal canal or neural foraminal stenosis in the cervical spine. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.