Multiple sclerosis and bladder urgency. There is interval increase in the extent of T2 hyperintense lesions in the cervical spine, including at the C3 and C4-5 levels. There is no associated abnormal enhancement, however. The thoracic spinal cord displays normal signal and morphology. However, there appear to be subcentimeter foci of T2 hyperintensity within the brainstem and right middle cerebellar peduncle. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is unchanged mild degenerative spondylosis at multiple levels of the cervical spine without significant spinal canal stenosis. There is a Schmorl node in the superior endplate of T11 and a subcentimeter of focal fat versus a hemangioma in the T12 vertebral body. The vertebral bone marrow signal is otherwise unremarkable. The paravertebral soft tissues are unremarkable.
Apparent interval progression of demyelinating disease in the cervical spine without evidence of associated active inflammation. The thoracic spinal cord appears unremarkable. However, there may be new infratentorial demyelinating lesions, which are otherwise incompletely characterized.