Female, 54 years old, with right-sided weakness and right hand tingling, history of multiple sclerosis. Please note that the patient declined to complete all postcontrast views. Complete postcontrast imaging of the cervical spine was performed, but only sagittal views of the thoracic spine were obtained, and no postcontrast images of the brain were obtained.Brain:Scattered foci of predominantly periventricular T2 hyperintensity are redemonstrated without significant interval change in size or number. The brainstem and cerebellum are preserved. Cerebral morphology is otherwise unremarkable. Brain parenchymal volume is preserved. No evidence of any edema or mass effect is seen. No abnormal extra axial fluid collections are detected. A small focus of susceptibility at the pontomedullary junction is unchanged and probably represents a benign vascular anomaly.Cervical spine:The previously seen signal abnormality within the right lateral cord at C2-3 has become less conspicuous. Whereas the cord in this area was slightly edematous on the prior examination, there is now slight volume loss. Scattered smaller questionable focus of signal abnormality are seen elsewhere in the cervical cord without significant interval change. No pathologic cord enhancement is seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. Minimal posterior disc-osteophyte complex formation is seen at C4-5, C5-6 and C6-7 without significant spinal canal compromise. Moderate narrowing of the left neural foramen at C5-6 is demonstrated.At least one T2 hyperintense nodule is evident within the right thyroid lobe, non-specific but probably unchanged and likely benign.Thoracic spine:The previously demonstrated T2 hyperintense lesions within the thoracic spinal cord are not as clearly seen on the present examination. However, there does appear to be some minimal residual signal abnormality within the spinal cord at T5-6, potentially at T8, and also at T9. No new lesions are seen. Only sagittal postcontrast images could be obtained, but within this limitation, no pathologic spinal cord enhancement is seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is observed. A small right paracentral disc extrusion is evident at T12-L1, similar to prior. No significant compromise of the spinal canal or neural foramina is detected.
1.Stable scattered lesions in the brain compatible with demyelinating disease.2.Scattered spinal cord lesions as noted on the prior examination are either stable or less conspicuous. No new spinal cord lesions are seen.3.Scattered mild degenerative findings are noted without significant compromise of the spinal canal.