 BRAIN: No evidence of progression of demyelinating disease. Unchanged multiple foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.CERVICAL SPINE: Motion artifact degrades image quality. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is moderate loss of disc height at C6-7. The vertebral bone marrow signal is unremarkable. There is slightly increased minimal prominence of the central canal throughout much of the cervical spinal cord without evidence of demyelinating lesions in the spinal cord. There are scattered perineural cysts throughout the spine.C2-C3: No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Tiny central disc protrusion. No significant spinal canal or foraminal stenosis.C4-C5: Disc-osteophyte complex, eccentric to the left, contributing to mild left foraminal stenosis. No significant spinal canal stenosis.C5-C6: Disc-osteophyte complex and uncinate spurs with partial effacement of the ventral thecal sac, contributing to minimal left foraminal stenosis. No significant spinal canal stenosis.C6-C7: Disc-osteophyte complex and uncinate spurs, contributing to moderate spinal canal stenosis and moderate to severe bilateral foraminal stenosis, relatively worse on the left. No definite associated cord signal abnormality.C7-T1: No significant disc bulge, herniation, spinal canal or foraminal stenosis. THORACIC SPINE: The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is mild multilevel loss of disc height. There is an intraosseous hemangioma at the L1 vertebral body. The vertebral bone marrow signal is otherwise unremarkable. There is small central disc protrusion at T5-6, T6-7 and T7-8. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Unchanged scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, compatible with known chronic demyelinating disease. No new lesions or lesions with enhancement to suggest active demyelination.2. Unchanged trace prominence of the central canal throughout much of the cervical spinal cord, which is of doubtful clinical significance. No findings to suggest demyelinating lesions in the spinal cord. 3. Degenerative spondylosis of the cervical spine, with moderate spinal canal stenosis at C6-7 and moderate to severe bilateral foraminal stenosis similar to prior from 11/14/2013. 