Female, 38 years old, with sensation of band around chest and coronary problems. Assess for multiple sclerosis, assess for interval change. Brain:A 4 mm focus of T2 hyperintensity within the right globus pallidus is unchanged. No new focal parenchymal lesions are detected. Diffusion-weighted images are within normal limits. No evidence of parenchymal edema or mass effect is seen. No abnormal extra-axial fluid collections are detected. Ventricular size and morphology are within normal limits.C-spine:Spinal cord signal intensity and morphology are within normal limits. No focal cord lesions are detected. No intracanalicular or epidural abnormalities are seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or concerning marrow replacement is seen.The intervertebral discs demonstrate normal height and morphology. Minimal posterior disc-osteophyte complex formation is seen at C3-4. At no level is there any significant spinal canal or neuroforaminal stenosis.Incidental is made of a 14 mm right thyroid nodule.T-spine:The thoracic spinal cord demonstrates normal signal intensity and morphology. No focal cord lesions are detected. No intracanalicular or epidural abnormalities are seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or concerning marrow replacement seen.Very small central disc protrusions are present at T6-7 and T7-8. At no point is there any significant spinal canal or neuroforaminal stenosis.Incidental note is made of a nonspecific subcentimeter cystic lesion within the left kidney.
1.A nonspecific 4 mm focus of signal abnormality within the right globus pallidus is unchanged.2.No additional specific abnormalities are detected in the brain.3.No focal spinal cord lesions are detected. No spinal canal or neuroforaminal stenosis is evident at any level.4.Incidentally noted are a right thyroid nodule and a left renal cystic lesion.