43 years, Female, multiple sclerosis, follow-up for progression.. There are approximately 10 T2/FLAIR hyperintense lesions in the periventricular and subcortical white matter with distribution and morphology consistent with known demyelinating disease. Compared to 8/30/2013, there are at least 3 new small lesions including a juxtacortical lesion in the right posterior frontal lobe, axial FLAIR series 403 image 148, right parietal periventricular lesion, image 130, and right inferior parietal lobule juxtacortical lesion, image 133. There is mild burden of T1 hypointense lesions. Small left thalamic lesion again noted. Brain parenchymal volume is preserved. No intracranial mass or mass effect. Ventricles and sulci are within normal limits. Calvarium and extracranial soft tissues are unremarkable.There is suggestion of a small right dorsal C1 lesion, which is not definitively seen on prior remote cervical spine MRI from 2009, which can be better assessed with a follow-up cervical spine MRI.
1. Compared to 8/30/2013, there are at least 3 new lesions in the supratentorial white matter consistent with progression of demyelinating disease.2. Probable new small right dorsal C1 cervical cord lesion, incompletely assessed.