 BRAIN: T2 hyperintensity within the right frontal and parietal subcortical and deep white matter centered around the central sulcus without significant change from prior study. There is mild associated T2 hyperintensity of the corticospinal tracts extending into the internal capsule posterior limb. There is no associated mass effect, susceptibility effect, diffusion restriction, or enhancement. There is no interval intracranial hemorrhage or acute ischemia. 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 skull, paranasal sinuses, and scalp soft tissues are unremarkable. SPINE: Stable appearing T2 hyperintensity extending the length of the spinal cord but most prominent in the cervical region without enhancement. Previously seen 3-mm rounded focus of intramedullary enhancement within the conus at the L1 level is not seen on this study. The vertebral column alignment is anatomical. 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. There is persistent bladder distention.
Redemonstration of large confluent focus of signal abnormality involving the right frontal and parietal white matter as well as signal abnormality throughout the spinal cord, without significant change from prior study. Persistent bladder distention. 