Female, 33 years old, with five year history of MS presenting with a suspected exacerbation with generalized weakness and burning in the left lower extremity. Brain:Multiple T2 hyperintense lesions are redemonstrated within the juxtacortical and periventricular white matter, the corpus callosum, the brainstem and cerebellum. Accounting for differences in technique, there has been no significant interval change in size or number of lesions when compared to the prior examination.No enhancing lesions are seen. No edema or mass effect is detected. Brain parenchymal volume is well-preserved. No restricted diffusion is seen. No findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collections are demonstrated. The ventricles are normal in size and morphology.Spine:A T2 hyperintense lesion within the ventral spinal cord at the C4 level has diminished in conspicuity when compared to the prior examination.A faint T2 hyperintense lesion within the cord at the T2 level is stable or slightly reduced in conspicuity. A T2 hyperintense lesion within the central cord at T10 is unchanged.No abnormalities of the conus or cauda equina are demonstrated. No pathologic spinal cord or leptomeningeal enhancement is seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow edema or enhancement is seen.Mild disc osteophyte formation is seen in the right paracentral region at C3-4. No significant spinal canal or foraminal stenosis results. Elsewhere, the spine is free of significant disc degeneration and there are no areas of high-grade spinal canal or foraminal stenosis.
1.Multiple lesions in the brain compatible with demyelinating disease are redemonstrated without significant interval change. No new or enhancing lesions are seen.2.Multiple scattered lesions in the spinal cord compatible with demyelinating disease are stable to reduced in conspicuity when compared to prior exams. No new or enhancing spinal cord lesions are detected.