44-year-old female with multiple sclerosis and paresthesias, for follow-up of disease progression. Brain: There are multiple foci of T2 hyperintensity in the periventricular and subcortical white matter, which appear similar to the prior exam, accounting for differences in technique. A few lesions also demonstrate T1 hypointensity. There is no significant brain parenchymal volume. There is no evidence of intracranial mass, recent infarct, or hemorrhage. There is a left maxillary sinus mucus retention cyst.Cervical Spine: The T2 hyperintense lesion at the right aspect of the cervical spinal cord at the C4 level is smaller in size when compared to 11/20/2014. There are no new lesions within the cervical spinal cord. There is mild straightening of the normal cervical lordosis, but no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There are multilevel small posterior disc-osteophyte complexes, but no spinal cord compression. The paravertebral soft tissues are unremarkable.
1. Multiple supratentorial demyelinating lesions appear similar to the prior exam, accounting for differences in technique. 2. A demyelinating lesion involving the cervical spinal cord at the right C4 level has decreased in size.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.