Multiple sclerosis. Fatigue, memory loss and numbness. There are multiple T2 FLAIR hyperintense lesions in the cerebral white-matter that are perpendicular to the long axis of the lateral ventricles. Some of the lesions involve the corpus callosum as well. Few of the lesions are mildly T1-hypointense. There is suggestion of contrast enhancement in a tiny lesion just anterior to the left caudate nucleus head. The other lesions are not contrast-enhancing. There is no definite brainstem or cerebellar involvement. There is no brain parenchymal volume loss. There is suggestion of 2 small lesions involving the left anterolateral periphery of the spinal cord at C3 and C3-C4 levels. A dedicated cervical spine MRI is scheduled for March 8, 2016.
1.Overall mild burden of cerebral white-matter T2 and T1 lesions that are compatible with the given diagnosis of multiple sclerosis. One of the lesions shows contrast enhancement while the others are not contrast-enhancing. There is no brain parenchymal volume loss and no definite involvement of the brainstem and cerebellum.2.Suggestion of small lesions involving the left anterolateral periphery of the spinal cord at the C3 and C3-C4 levels. A dedicated cervical spine MRI is scheduled for March 8, 2016.