Diagnosis: Paresthesia of skinClinical question: MSSigns and Symptoms: memory, patchy signal abnormalities in the cervical spine The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular and subcortical white matter lesions which are hyperintense on T2 imaging and hypointense on T1 imaging present. Some of these are perpendicularly oriented to the lateral ventricles. Some extend to the colossal cingulate junction. Also appears to be a T2 hyperintense lesion in the posterior and peripheral aspect of the upper cervical spinal cord located midline and eccentric to the left at the C1 vertebral level which is incompletely assessed on this study.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There are periventricular and subcortical white matter lesions present as well as a lesion suspected to be present in the upper spinal cord which are suspicious for demyelinating disorder which is compatible with the patient's known diagnosis of multiple sclerosis.