Multiple sclerosis: paresthesias. Brain: There are multiple, greater than 20, T2 hyperintense lesions within the cerebral white matter, in a periventricular, deep, and juxtacortical distribution. Many of the lesions are also T1 hypointense. There is no evidence of infratentorial lesions. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: The spinal cord displays normal signal and morphology. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is a trace posterior disc-osteophyte complex at C6-7, but there is no significant spinal canal stenosis in the cervical or thoracic spine. The paravertebral soft tissues are unremarkable.
1. Multiple demyelinating lesions in the brain do not appear to be significantly changed, accounting for differences in technique. 2. No evidence of demyelinating lesions in the spinal cord. 