Clinical question: Evaluate for CNS lupus. Signs and symptoms: Cognitive issues, balance. Pre-and post-enhanced brain MRI:No diffusion weighted abnormalities.There is normal anatomical development and morphology of the brain with normal signal intensity on all MRI sequences. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.There is no detectable abnormal parenchymal, leptomeningeal or calvarial enhancement.Multiple images through the orbits and including axial fat sat post enhanced series.The signal intensity of paranasal sinuses and bilateral mastoid air cells and middle ear cavities are unremarkable.
Negative pre and post enhanced brain MRI.