Left finger numbness. Brain: There are several, at least 10, punctate cerebral white matter T2 hyperintense lesions. Some of these appear to be slightly larger than in 2010, although this may be attributable to differences in technique. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: The spinal cord displays normal signal. There is lack of the usual cervical lordosis and a posterior disc-osteophyte complex at the C5-6 level that results in mild spinal canal stenosis. There are also smaller posterior disc-osteophytes at C4-5 and C6-7. There is a punctate perineural cyst in the left C5-6 neural foramen. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. However, there is a left thyroid nodule that measures up to 15 mm, which is unchanged.
1. Some of the presumed intracranial demyelinating lesions appear to be slightly larger than in 2010, although this may be attributable to differences in technique. 2. No evidence of demyelinating lesions in the cervical spine.3. Lack of the usual cervical lordosis and a posterior disc-osteophyte complex at the C5-6 level that results in mild spinal canal stenosis. 4. Nonspecific left thyroid nodule, which is unchanged.