28 years, Female, multiple sclerosis, follow-up for progression. Brain: There are several scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter as well as one involving the left aspect of the pons, some of which are very nonspecific in distribution. Lesions include however a juxtacortical left superior frontal gyrus lesion as well a few pericallosal and periventricular lesions which are more suggestive of demyelinating disease. Current study is of higher resolution and this difference may limit comparison of small lesions. There is a small left lateral pontine lesion which is not appreciable on prior study. There is otherwise no definite evidence of progression of demyelinating disease in the brain. There is no significant burden of T1 hypointense lesions. Brain parenchymal volume is preserved. There is no intracranial mass or mass effect. Ventricles and sulci are within normal limits. Calvarium and extracranial soft tissues are grossly unremarkable.Cervical cord: There is an intramedullary lesion at the dorsal C2 level involving the bilateral, right greater than left, aspects of the cord. This lesion was slightly more conspicuous previously and also demonstrated enhancement. There is also a more subtle lesion involving the left lateral aspect of the cord at the upper C6 level which was also present previously. No new cervical cord lesions are demonstrated. Cord parenchymal volume is preserved.Vertebral body heights and alignment in the cervical spine are normal. Bone marrow signal is benign. Minimal disc osteophyte complexes are present at the C3-C4 and C5-C6 levels which were present previously. There is no significant spinal canal or neural foraminal stenosis.
1. There is a single small focus of T2 hyperintensity involving the left lateral aspect of the pons which is not seen on prior MRI study from 11/23/2015, which was of slightly lower resolution. There is otherwise no evidence of progression of demyelinating disease in the brain. 2. No evidence of progression of demyelinating disease in the cervical spinal cord.