49 years, Female, progression of multiple sclerosis. Brain: Examination is obtained per demyelinating disease protocol and mildly motion degraded. There is a unchanged ovoid area of FLAIR hyperintensity and mild T1 hypointensity in the left inferior parietal subcortical white matter near the temporal lobe junction. No new lesion is appreciated. No abnormal enhancement is appreciated. Brain parenchymal volume is within normal limits. No intracranial mass or mass effect. No hydrocephalus. No extra-axial collections. Visualized extracranial soft tissues are unremarkable.Cervical spine: Examination is mildly motion degraded but demonstrates no definite new lesion since 8/29/2014. There is T2 hyperintense lesion involving the right lateral aspect of the cord at the C7-T1 level compatible with chronic demyelinating plaque. No new lesions or lesions with enhancement are appreciated. Additional apparent T2 hyperintense foci such as the C3-C4 level favored to be artifactual. Cervical cord volume is maintained.Vertebral body heights and alignment are maintained. Bone marrow signal is benign. No significant spinal canal or neural foraminal stenosis is seen at any level.Thoracic spine: Small T2 and STIR hyperintense lesions are suspected in the cord at the T8 and T9 levels. No abnormal enhancement. Cord volume is maintained. Vertebral body heights and alignment are maintained. Bone marrow signal is benign. No significant spinal canal or neural foraminal stenosis is appreciated.
1. Unchanged nonenhancing left parietal lesion. No new lesions to suggest demyelinating disease progression in the brain.2. Unchanged nonenhancing right lateral C7-T1 lesion. No new lesion in the cervical cord.3. There are two small nonenhancing thoracic cord lesions. No comparison thoracic MRI is available, but these are favored to be chronic.