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MultipleT2/FLAIR hyperintensities in bilateral periventricular white matter, oriented perpendicular to callososeptal interface and involving genu and body of corpus callosum
Few juxtacortical hyperintensities are also seen in right parietal and bilateral temporal lobes.
Subtle hyperintensity seen cervicomedullary junction on right side.
Hyperintensities are also seen in visualized upper cervical cord.
Few lacunar infarcts seen in bilateral subcortical white matter.
Bilateral lateral ventricle and convexity sulci are mildly prominent, likely age related.
Cerebellum and pituitary gland are unremarkable
Major signal void areas of brain are normal.
Note is made of prominent cisterna magna.
Findings are suggestive of demyelination, likely multiple sclerosis.
This case satisfies the McDonald diagnostic criteria for multiple sclerosis with periventricular, juxtacortical, infratentorial and spinal cord lesions.