Multiple sclerosis [G35], Reason for Study: ^Reason: History of MS, worsening thoracic pain, Javed MRI protocol, MS activity History: Thoracic pain Brain MRIThere are multifocal various sized white matter FLAIR/T2 high signal intensity lesions consistent with multiple sclerosis. Although the scan parameters are and scanner are different from those of prior scan, there is no significant interval difference of the number, configuration and distribution of these multiple sclerosis lesions since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift. The midline structures and cranial-cervical junction are normal. Cervical SpinePreviously seen C6 spinal cord high signal intensity on T2-weighted images is more conspicuous than prior scan. However the medullary lesion at the level of C2 is not conspicuous on today's scan.Cervical vertebral body alignment is straightened but vertebral height appear to be normal and bone marrow signal intensity is normal.Intervertebral disc is desiccated indicating degenerative changes.Among them, diffuse bulging of disc is seen at the level of C5-6 which abuts thecal sac. Minimal neuroforaminal narrowing on the left side of C45, unchanged since prior scan. However, there is no evidence of significant spinal canal or neural foraminal stenosis.Thoracic Spine MRIMultiple patchy T2/STIR high signal intensity lesions seen at the level of T2, T3, T4, T5, T8 and T10 levels which considering the difference in MR parameters and technique, unchanged since prior scan.
1. No significant interval changes of multiple intracranial and cervical and thoracic spinal multiple sclerosis lesions since prior scan.2. Unchanged minimal degenerative changes of cervical spine including minimal C45 left neuroforaminal narrowing and disc dessication.