Multiple sclerosis. Brain: There are a few unchanged T2 hyperintense lesions in the bilateral periventricular and subcortical white matter and right middle cerebellar peduncle. There is no abnormal intracranial enhancement. 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. There is a small amount of fluid within the right mastoid air cells.Cervical Spine: Patchy T2 hyperintense lesions in the spinal cord at the C3 and C6-7 levels are redemonstrated. There is no associated 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. There is a small posterior disc-osteophyte at C5-6 with mild left neural foraminal narrowing, but no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable. There is a punctate right thyroid cyst.
1. No appreciable progression of the intracranial and cervical spine demyelinating lesions.2. Small posterior disc-osteophyte at C5-6 with mild left neural foraminal narrowing, but no significant spinal canal stenosis. 