Female, 45 years old, with multiple sclerosis. Assess for progression. Brain:Numerous small foci of T2 hyperintensity are seen within the juxtacortical and to a lesser degree the periventricular white matter. The corpus callosum is involved only minimally. There may be a few small lesions in the posterior fossa but artifact limits the evaluation. No definite lesional enhancement is observed.The morphology of the brain is otherwise within normal limits. No significant edema or mass effect is seen. Parenchymal volume is preserved. No abnormal extra-axial collections are suspected. The ventricular system is intact and normal in size.Cervical spine:The spinal cord demonstrates normal morphology. No evidence of pathologic cord signal or enhancement is seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Minimal degenerative endplate signal abnormality is seen at C4-5.Minimal disc osteophyte formation is seen from C4-5 through C6-7 without significant spinal canal stenosis. The left neural foramen at C4-5 is mildly narrowed.Thoracic spine:A very small focus of cord signal abnormality is seen dorsally at T2. A larger focus of signal abnormality is seen dorsally and centrally at T6-7. Both lesions are less prominent than on the prior examination. No new lesions are suspected. The remainder of the spinal cord is unremarkable. No pathologic cord enhancement seen.The thoracic kyphosis is exaggerated. Alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No evidence of any significant disc degeneration, spinal canal or foraminal stenosis.
1.Multiple small white matter lesions are seen in the brain involving the juxtacortical and to a lesser degree the periventricular white matter. No enhancing lesions are identified.2.Focal nonenhancing spinal cord lesions are evident at T2 and T6-7. Both lesions are less conspicuous than on the prior examination. No lesional enhancement is seen.3.No cervical cord lesions are identified.