Multiple sclerosis [G35], Reason for Study: ^Reason: please r/o structural abnormality History: MS with LE weakness and incontinence Brain MRIExtensive periventricular white matter, midbrain and right middle cerebellar peduncular FLAIR/T2 high signal lesions are redemonstrated and unchanged since prior scan.There is no evidence of new lesion on this scan.Diffuse brain parenchymal volume loss appears to be stable.There is no evidence of acute ischemic or hemorrhagic lesion.The ventricular system appears to be enlarged likely due to secondary to volume loss, unchanged since prior scan. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Mucosal thickenings seen on bilateral maxillary, ethmoid frontal sinuses.Cervical spine MRIMotion artifact degraded exam quality. There is no evidence of abnormal spinal cord signal intensity on this scan.Vertebral body heights are preserved and craniocervical junction appear to be normal.There is focal bulging of disc at the level of C56 which abuts thecal sac.Spinal canal at the level of C56 and C67 show minimal spinal canal narrowing without neuroforaminal stenosis.Although axial T2 images were degraded due to motion artifacts, the degree of spinal canal narrowing do not show significant interval change since prior scan.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Unchanged extensive white matter lesions, diffuse volume loss and ventricular system enlargement since prior scan.3. No evidence of spinal cord abnormal signal intensity.4. Unchanged degenerative changes of cervical spine.