Demographics:
28 years old, Male
Indication:
Nystagmus, dysmetria
Findings
- New mildly expansile area of T2/FLAIR signal hyperintensity centered in the right middle cerebellar peduncle with patchy enhancement
- Additional new area of T2/FLAIR signal hyperintensity in the central aspect of the upper cervical spinal cord without definite associated enhancement
- Increased T2/FLAIR signal hyperintensity in the left periatrial white matter
- Otherwise similar appearance of patchy T2/FLAIR signal hyperintensity involving the bilateral periventricular white matter and left lentiform nucleus
- No evidence of acute infarct, hemorrhage, or hydrocephalus
Diagnosis
Behçet disease
Sample Report
Redemonstration of patchy T2/FLAIR signal hyperintensity involving the bilateral periventricular white matter and left lentiform nucleus with new areas of T2/FLAIR signal hyperintensity in the right middle cerebellar peduncle and upper cervical spinal cord and increased T2/FLAIR signal hyperintensity in the left periatrial white matter. Associated patchy enhancement in the right middle cerebellar peduncle. These findings are nonspecific and may represent demyelinating disease (including multiple sclerosis or acute disseminated encephalomyelitis), vasculitis (including Behçet disease), or other infectious/inflammatory encephalitis.
No evidence of acute infarct, hemorrhage, or hydrocephalus.
Discussion