32 years, Female, shooting pain down both legs, evaluate for demyelinating lesions. Brain: There are two foci of T2/FLAIR hyperintensity involving the left frontal subcortical and periventricular white matter as well as a possible third focus involving the left callosal genu. No infratentorial lesions are appreciated. Brain parenchyma appears otherwise unremarkable without evidence of intracranial mass or mass effect. Ventricles are normal in size. No extra-axial collections. Brain parenchymal volume is maintained. Calvarium and extracranial soft tissues are unremarkable.Lumbar Spine: Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position and without focal lesions.Individual levels described below: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.There is minimal facet arthropathy in the lower lumbar spine. Paraspinous soft tissues are within normal limits. Subcentimeter benign-appearing cystic lesion in the left sacrum is nonspecific and incidentally noted.
1. Brain MRI is essentially within normal limits for age. There are few foci of T2/FLAIR hyperintensity in the left frontal lobe white matter with a nonspecific appearance and distribution. No specific findings to suggest demyelinating disease. 2. There is no significant disc disease or neural foraminal stenosis at any level in the lumbar spine.3. Minimal facet arthropathy in the lumbar spine.