Reason: new ms plaque History: LLE weakness The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is multilevel disk desiccation present .There is a signal hyperintensity present along the posterior aspect of the spinal cord at the C2 vertebral body level posteriorly and along the midline visualized portions of the cerebellum there is a hypointense lesion on all pulse sequences which appears to be new since the prior exam from 2013 but is present on the recent MRI from yesterday.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There are left-sided uncovertebral osteophytes present at this level which are associated with some disk material and some encroachment of the left-sided exiting nerve roots.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes levelAt C5-6 there is no significant compromise to the spinal canal . There are endplate portable osteophytes present at this level with mild narrowing of the neural foramina bilaterally.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.A spinal cord lesion at the C2 through body level is stable compared to prior exams. There is no evidence for acute plaque formation appreciated.2.A small hemorrhagic focus in the inferior aspect of the right cerebral hemisphere is more conspicuous than on 2013. Please refer to MRI of the brain to further comments. The pattern of microhemorrhages on MRI is suggestive of hypertensive related microhemorrhages.