Multiple sclerosis with paresthesias. Brain: There are multiple foci of T2 hyperintensity in the cerebral white matter, mainly in a periventricular distribution, as well as in the brainstem and cerebellum, similar to the prior MRI. Many of the lesions demonstrate low T1 signal. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: There are multiple foci of high T2 signal within the imaged portions of the spinal cord, most notably at the C2-3 and C4 levels, similar to the prior MRI. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
The demyelinating lesions in the brain and imaged portions of the spinal cord appear to be similar in extent as on the prior MRI.