44 years Female (DOB: 3/10/1972)Reason: Multiple Sclerosis History: follow up progressionPROVIDER NAME: BARRY G. ARNASON BARRY G. ARNASON MRI brain:There are periventricular white matter lesions present some which are perpendicularly oriented to the lateral ventricles. There is some involvement of the corpus callosum. Additional lesions are present along the right posterior lateral aspect of the midbrain and right cerebral peduncle as well as the right middle cerebellar peduncle and the cervical medullary junction.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is T2 hyperintense lesions present throughout much of the cervical spinal cord. One extends from C1 to down to C2-3 and is centered anteriorly. Another from extends from C3 vertebral level down to C4 and is centered along the right hemicord. Another one extends from the C4-5 disc space level to the C6 vertebral body level.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is a T2 hyperintense lesion present along the anterior aspect of the thoracic spinal cord at the T11-T12 level which is centered in the left anterolateral aspect of the spinal cord.
1.There are multiple white matter lesions present in the brain as well as the cervical and thoracic spinal cord which are suspicious for demyelinating disorder. None of these enhance following gadolinium administration suggesting that they're more likely in the chronic phase. There are no comparison studies available.