Female, 53 years old, with multiple sclerosis and right foot drop. Assess for new lesions. Brain:Several small foci of T2 hyperintensity are again seen in the periventricular white matter and left cerebellum showing no significant change in size. These lesions demonstrate a moderate degree of T1 hypointensity which, at least in regards to the lesion along the left ventricular atrium, has become more conspicuous compared to prior. No new lesions are seen. No significant parenchymal edema or mass effect is detected. There are no abnormal extra-axial fluid collections. The ventricles remain normal in size and shape. Volume of the corpus callosum and the brain in general is relatively preserved.Cervical spine:Vague patchy T2 hyperintensity is again seen through a majority of the cervical spine. The segment spanning from C2 to C3 is particularly affected with evidence of cord volume loss on the left. These findings are unchanged with no evidence of any new cord lesions.Spinal alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits. No epidural abnormalities are seen. No significant compromise of the spinal canal or neural foramina is detected.Thoracic spine:Scattered areas of abnormal spinal cord signal are again seen, for example on the right at T3-4, centrally at T6-7 and central left at T8. These pre-existing lesions show no significant interval change, and no new lesions are detected.The thoracic kyphosis is mildly exaggerated. Otherwise, alignment is anatomic. Vertebral body height and morphology are within normal limits. Scattered foci of marrow T2 hyperintensity within numerous vertebral bodies are unchanged and may reflect atypical hemangiomas.A small central disc protrusion is unchanged at T6-7. No significant compromise of the spinal canal or neural foramina is suspected.
1.Scattered white matter lesions are redemonstrated in the brain showing no significant interval change in size. One lesion, along the left ventricular atrium, demonstrates progressive T1 hypointensity. No new lesions are seen.2.Scattered lesions in the spinal cord are also redemonstrated without significant interval change in size. No new spinal cord lesions are seen.