44 years Female (DOB:6/12/1971)Reason: please do dr Javed MS protocol compare to prior History: progression MSPROVIDER/ATTENDING NAME: JACQUELINE T. BERNARD JACQUELINE T. BERNARD The cervical vertebral bodies are appropriate in overall alignment and height. No abnormal enhancing lesions are identified in the cervical spine. There are small foci of T2 signal hyperintensity present within the cervical spinal cord along the posterior aspect of the cervical spinal cord at C2-3 which have not changed substantially along the left hemicord at the C4 vertebral level and a smaller lesion along along the right hemicord at the C4 vertebral level. Additional small lesions are present along the right hemicord at C6-7 and left hemicord at C6-7. These lesions appear to have been present on the prior exam are better visualized on current exam mainly due to differences in image acquisition technique. No abnormal enhancing lesions are identified within the cervical spinal cord.Additional lesions are identified in the visualized brainstem and cerebellum.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.
1.There are multiple lesions scattered throughout the cervical spinal cord which are compatible with demyelinating disorder. Accounting for differences in image acquisition technique these do not appear to have changed substantially when compared to the previous exam.2.There are lesions identified in the brainstem and visualized cerebellum which have been previously present. These also are compatible with the patient's diagnosis of demyelinating disorder.