Clinical question: Multiple sclerosis. Signs and symptoms: Numbness and tremor. Pre-and post enhanced brain MRI:Examination demonstrate slight prominence of cortical show slight primarily in the parietal lobes in a symmetrical bilateral fashion. This finding was noted on prior exam and demonstrate no significant change. The anatomical morphology of the brain is otherwise within normal. Signal intensity of brain parenchyma is also normal and without any detectable abnormal parenchymal or leptomeningeal enhancement.Pre-and post enhanced cervical MRI:Examination demonstrate normal signal intensity and caliber of cervical and uppermost visualized thoracic cord. There is no detectable abnormal enhancement of the cord or leptomeninges.There is normal signal intensity and alignment of the vertebral column. There is no detectable abnormal enhancement the vertebral column. There is no spinal stenosis or neural foraminal compromise at any level.
1.Pre-and post enhanced brain MRI demonstrates prominence of cortical sulci for patient's stated age of 38 in a symmetrical bilateral parietal lobes as detailed and without significant change since 2012 study. No signal abnormality of abnormal enhancement of the brain parenchyma. Unremarkable brain MRI otherwise.2.Unremarkable pre-and post enhanced cervical MRI.