Multiple sclerosis [G35], Reason for Study: ^Reason: please do dr javed MS protocol, compare to prior History: progression MS Brain MRIThere are multifocal bihemispheric various size periventricular white matter and deep white matter FLAIR/T2 high signal intensity lesions consistent with demyelinating disease, unchanged since prior scan.There is no evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical spine MRIThere are multifocal patch T12/STIR high signal intensity lesions at the level of C2, C4 and T2 level indicating involvement of demyelinating disease of cervical and thoracic spinal cord. Above described findings do not show any significant interval change since prior scan.Normal cervical lordosis is seen.The craniocervical junction is normal.Spine alignment is anatomic and the vertebral body height is appreciated.There is no evidence of spinal canal or neuroforaminal stenosis on the scan.There is no evidence of abnormal enhancement.
1. Unchanged bihemispheric various sized demyelinating disease since prior scan. No evidence of abnormal enhancement.2. Cervical spinal cord and thoracic spinal cord involvement of demyelinating disease unchanged since prior scan. No evidence of abnormal enhancement.