Multiple sclerosis with paresthesias. There is no significant change in the numerous (greater than 10) white matter lesions, accounting for differences in technique. 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 major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. However, there is degenerative spondylosis and kyphotic angulation of the upper cervical spine with apparent mild indentation upon the spinal cord.
1. No significant interval change in the demyelinating lesions, accounting for differences in technique. 2. Degenerative spondylosis and kyphotic angulation of the upper cervical spine with apparent mild indentation upon the spinal cord. Dedicated cervical spine imaging may be useful for further evaluation, if clinically warranted. 