Multiple sclerosis [G35], Reason for Study: ^Reason: History of MS, brain and spinal cord lesions, worsening symptoms History: Lower extremity weakness and spasticity Brain MRIMultiple various sized scattered T2/FLAIR high signal intensity lesions without mass effects are seen involving bilateral hemispheric white matter, midbrain and bilateral cerebellar hemispheres. The size, number and distribution patterns do not show any significant interval change since prior scan. These findings are consistent with demyelinating disease such as multiple sclerosis.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical MRIMotion artifacts degraded image quality.Subtle ill defined T2 high signal intensity lesions are redemonstrated from C2 to C6 level. Comparing to prior scan, these subtle high signal intensity lesions do not show any significant interval change.There is no evidence of focal spinal cord swelling.The cervical spine is straightened but the alignment appears to be normal.Vertebral body heights are maintained and there is no evidence of spinal canal stenosis.From C12 to C7T1, there is no evidence of neuroforaminal stenosis.
1. Multiple scattered bihemispheric white matter lesions which are consistent with demyelinating disease such as multiple sclerosis. No significant interval change of white matter lesions' number, size and pattern of distribution since prior scan.2. Ill defined patchy T2 high signal lesions from C2 to C6 level, unchanged since prior scan. However, due to motion artifacts, precise evaluation was not possible.