Active multiple sclerosis
Heaviness and anesthesia of both lower limbs, slurred speech, squint and loss of concentration of 1 month duration. No known medical history.
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Extensive bilateral cerebral supra- and infra-tentorial deep white matter demyelinating foci, with predominantly peri-ventricular location, are seen, they demonstrate low T1 and high T2 / FLAIR signal.
Some of these foci show restricted diffusion with marginal enhancement showing typically incomplete ring. Similar demyelinating foci are seen within the cerebellar hemispheres, pons and middle cerebellar peduncles.
Features compatible with active multiple sclerosis.