Female, 27 years old, with MS, noncompliant, right arm and bilateral leg weakness. Bilateral dysmetria. Brain:Numerous scattered T2 hyperintense lesions are again seen within the periventricular and subcortical white matter, the deep gray nuclei, brainstem, and to a lesser degree the posterior fossa. The number, size and distribution of these lesions have not changed from prior. None of these lesions shows any convincing evidence of enhancement.There is no evidence of parenchymal edema or mass effect. No abnormal extra axial fluid collections are detected. Ventricular size and morphology are within normal limits.C-spine:The cervical spinal cord is slender with superimposed areas of additional volume loss, similar to prior. Patchy T2 hyperintensity is evident throughout the visualized cord in a similar pattern and distribution to that seen previously. No definite evidence of any new lesions is seen. No definite pathologic cord enhancement seen.A mild scoliotic curvature of the cervical spine is again seen. Alignment is otherwise unremarkable. Vertebral body height and morphology are normal. No concerning marrow replacement, edema or pathologic marrow enhancement is seen.The intervertebral disks are preserved with no evidence of significant spinal canal or neuroforaminal stenosis.
Stable sequela of demyelinating disease in the brain and cervical spine.