Female, 30 years old, with history of multiple sclerosis, presenting with numbness and weakness. Evaluate for MS FLAIR. Brain:Numerous T2 hyperintense lesions are redemonstrated involving the corpus callosum, the periventricular white matter, the juxtacortical white matter and the cerebellum. Most of these T2 lesions are unchanged in size, but there are new T2 lesions within the left parietal operculum and within the right gyrus rectus, both of which enhance. Many of the pre-existing lesions are also demonstrate new enhancement when compared to prior exams.Brain morphology is otherwise unremarkable. No intracranial hemorrhage or abnormal extra-axial fluid is detected. Ventricular size and morphology are unchanged.Cervical spine:Image quality is degraded by motion artifact. Within this limitation, ill-defined areas of cord T2 hyperintensity are redemonstrated in the upper to mid cervical region without significant interval change. More focal appearing cord lesions from C6 through T1 are new or have progressed when compared to the prior examination. These lesions demonstrate corresponding enhancement. Mild left lateral cord enhancement is also seen at the C2 level.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. No significant compromise of the spinal canal or neural foramina is noted.Thoracic spine:Image quality is reduced by motion artifact. A few scattered vague areas of cord T2 signal abnormality are seen in thoracic region without significant interval change from the prior examination. Except at the T1 level as discussed above, no additional areas of pathologic cord enhancement are seen in the thoracic region.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. No significant compromise of the spinal canal or neural foramina is noted.
1.Findings are seen compatible with a multiple sclerosis FLAIR in the brain. This includes the presence of lesions which are new from the prior exam, and new enhancement within pre-existing lesions.2.New lesions are also evident within the spinal cord, most notably at the cervicothoracic junction.