 Brain MRI:There are numerous T2 hyperintense foci within the supratentorial and infratentorial brain. Several of the periventricular lesions are oriented in parallel fashion to the callosomarginal junction. Infratentorial lesions include lesions within the pons, cerebellar peduncles, cerebellum, and medulla. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. Cervical spine MRI:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The visualized paraspinal contents are unremarkable. There are no significant degenerative changes and there are no stenoses.Abnormal T2 hyperintense foci are found within the spinal cord in the following levels: C2, C3 (which is slightly expansile), C3/4, questionable C5 right posterolateral cord, C6, and questionable C7 right lateral cord.
Numerous T2 hyperintense lesions within the supratentorial brain, infratentorial brain, and cervical spinal cord consistent with the provided history of multiple sclerosis.