Demographics:
54 years old, Female
Indication:
Concern for upper motor neuron disease
Findings
- Abnormal T2/FLAIR signal hyperintensity along the bilateral corticospinal tracts extending from the precentral gyri through the internal capsules and into the brainstem
- Confluent T2/FLAIR signal hyperintensity in the bilateral parietal subcortical and deep white matter
Diagnosis
Amyotrophic lateral sclerosis (ALS)
Sample Report
Abnormal T2/FLAIR signal hyperintensity along the bilateral corticospinal tracts extending from the precentral gyri through the internal capsules and into the brainstem, which raises concern for an upper motor neuron degenerative disease like amyotrophic lateral sclerosis (ALS).
No acute intracranial abnormality.
Discussion