Female, 16 years old, with headaches, pseudotumor cerebri, punctate periventricular white matter lesions, yearly follow-up examination. MRI brain:Ill-defined small foci of T2 hyperintensity within the white matter along the left frontal horn are unchanged. No new parenchymal signal abnormality is detected. No edema or mass effect is seen. Diffusion-weighted images are normal. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricular system is stable and normal in size.MRV brain:The dural venous sinuses and the major deep cerebral veins are patent.MRI cervical spine:Alignment is anatomic. Vertebral body morphology and signal characteristics are normal. Minimal prominence of the central canal of the spinal cord beginning at C4 is unchanged and within normal limits. The spinal cord otherwise shows normal morphology and signal characteristics. No epidural abnormalities are seen. No compromise of the spinal canal or neural foramina is suspected.MRI thoracic spine:Alignment is anatomic. Vertebral body morphology and signal characteristics are normal allowing for focal fat within the T6 vertebral body. Mild prominence of the central canal of the spinal cord is again seen, unchanged and within normal limits. No epidural abnormalities are seen. No compromise of the spinal canal or neural foramina is suspected.
1.Small foci of white matter signal abnormality along the left frontal horn are unchanged. No new or significant intracranial findings.2.No evidence of dural venous sinus thrombosis.3.Evaluation of the cervical and thoracic spine shows no significant abnormalities.