 BRAIN: There are multiple patchy foci of T2 hyperintensity within the supratentorial white matter, including the juxtacortical and periventricular white matter. There are no identified infratentorial lesions. Some of the larger lesions demonstrate T1 hypointensity although none enhance. 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 skull and scalp soft tissues are unremarkable. There is mild paranasal sinus mucosal thickening and a right maxillary sinus retention cyst. CERVICAL SPINE: The spinal cord displays normal signal and morphology. There is no evidence of intraspinal mass or abnormal enhancement. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. There are mild degenerative changes within the mid to lower cervical spine with mild uncovertebral joint arthropathy and small disc osteophyte complexes mainly at the C3 through C6 levels without spinal canal or neural foramen stenosis.
Multiple non-enhancing supratentorial juxtacortical and periventricular white matter lesions compatible with history of MS. No enhancing lesions and no infratentorial or cervical spinal cord lesions. 