Multiple sclerosis, follow up for progression with weakness. Brain: There are numerous T2 hyperintense lesions in the cerebral white matter, although some of the lesions appear to be less conspicuous on T2-weighted sequences. Many of the lesions demonstrate T1 hypointensity, but no associated abnormal enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles are unchanged in size and configuration, with evidence of mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mild mucosal thickening in the right maxillary sinus. The orbits, skull, and scalp soft tissues are grossly unremarkable.Cervical Spine: The images are degraded by patient motion. There are multiple T2 hyperintense lesions in the cervical spinal cord without evidence of associated enhancement. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
1. Chronic multiple sclerosis lesions with associated cerebral volume loss.2. Multiple demyelinating lesions in the cervical spinal cord without evidence of enhancement.