Demyelinating and or dismyelinating white matter disease (MR).

PROTOCOL:

T1W – Sagittal & axial scans
T2W – Axial & coronal scans
FLAIR – Axial scans 

FINDINGS:

-Revealed:
• Mild reduction in the volume of white matter with decreased diffuse intensity on T2.
• Prominent peri vascular spaces (Virchow Robin spaces) in the white matter (image 17 T2).
• Irregular lateral walls of lateral ventricles.
• Bilateral maxillary and ethmoid sinusitis.

-Brain Parenchyma shows normal grey white matter differentiation and signal intensities.  No focal mass lesion is seen.
-Septum is in midline.  There is no midline shift.
-Basal cisterns, cortical sulci and gyri are normal in appearance.
-Corpus callosum shows normal MR morphology.
-Brain stem and cerebellum show normal signal intensities.  
-Fourth ventricle is normal in size and is midline in position.


OPINION:

• On the light of the above mentioned MR signs; picture is suggestive of mild reduction in the volume of white matter which could be due to abnormal myelin process. 
• Diffuse increased hypo intensity of white matter on T2 gives impression of reduction in the lipid forming myelin which is replaced by fluid (demyelinating and or dysmyelinating process) for clinical correlation.
• For clinical correlation.


Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin