New right arm shooting burning constant pain. Brain: There are multiple supratentorial and infratentorial high T2 signal lesions within affected the white matter, which have not significantly changed in size. There is no evidence of enhancement associated with these lesions. There is an unchanged small right occipital developmental venous anomaly. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. Cervical Spine: There are multiple faint patchy areas of high T2 signal within the imaged portions of the spinal cord, which have not appreciably changed. There is no evidence of associated enhancement. There is unchanged multilevel degenerative spondylosis with associated neural foramen narrowing as previously described, but no significant spinal canal stenosis. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable.
1. No significant change in the intracranial demyelinating lesions.2. No significant change in the demyelinating lesions involving the cervical spinal cord.