Female, 43 years old, history of multiple sclerosis, with weakness and urinary incontinence. Brain:Areas of periatrial T2 hyperintensity are unchanged as are a few additional scattered juxtacortical foci of T2 hyperintensity. No new or enhancing lesions are seen. No significant parenchymal edema or mass effect is detected. No abnormal extra axial fluid collections are observed. A focus of susceptibility within the left thalamus compatible with chronic microhemorrhage is unchanged. The ventricular system is stable and normal in size.Lumbar spine:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement, edema or enhancement is seen.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No pathologic intrathecal enhancement is seen. No epidural abnormalities are suspected.The intervertebral discs are preserved. No herniation or significant disc bulging is seen. No significant compromise of the spinal canal or neural foramina is noted.
1.Scattered lesions in the brain compatible with demyelinating disease are unchanged. No findings to suggest new or active lesions are seen.2.Unremarkable evaluation of the lumbar spine with no specific findings to account for the patient's symptoms.