45 years Female (DOB:3/19/1971)Reason: MS ? History: cord Sx Optic neuritis x 3 NL brain MRI in 2006PROVIDER/ATTENDING NAME: ANTHONY T REDER ANTHONY T REDER MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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. 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. There is mild disc bulge at this level.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. There is a small central and left paramedian disc protrusion present at this level. There is some associated narrowing of the left-sided neural foramen with mild encroachment of left-sided exiting nerve roots..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.No lesions are identified within the brain parenchyma or the cervical spinal cord to suggest demyelinating disorder.2.There are some mild degenerative changes present in the cervical spine worse at C6-7 where there is some mild encroachment of left-sided exiting nerve roots due to a disc protrusion.