Multiple sclerosis. Brain: There are numerous, greater than 10, T2 hyperintense lesions in the supratentorial and infratentorial white matter. Many of the lesions also display T1 hypointensity. There is no discernible associated enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. 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.Spine: There are multiple areas of T2 hyperintensity in the cervical spinal cord without appreciable associated enhancement. The thoracic spinal cord appears unremarkable. 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 or neural foramen stenosis. However, there are multiple subcentimeter perineural cysts within the cervical neural foramina. The paravertebral soft tissues are unremarkable.
Numerous white intracranial and spinal cord matter lesions are compatible with demyelinating disease.