Axial FLAIR scans show a somewhat heterogeneous hyperintense intra-axial lesion in the right
frontal/parietal lobes, located mostly in the white matter. The signal abnormality extends
into the genu of the corpus callosum. There is mass effect with midline shift.
Left: Axial T2WI shows homogeneously hyperintensity within the lesion. Again, the majority of
the lesion is within the white matter.
Right: Axial post contrast T1WI shows that the lesion is hypointense without enhancement.
Left: Sagittal T2 images show an expanded cervical cord with T2 hyperintensity.
Right: Sagittal post contrast T1WI with fat saturation shows no abnormal enhancement.
Post contrast Axial and Coronal T1WIs of the orbits with fat saturation show enhancement of
the optic nerves, bilaterally.
Key words: mri cervical spine orbits white matter disease demyelinating inflammation
Brain, Spine & ENT Diagnosis:
Tumefactive multiple sclerosis
& Devic's disease