Multiple sclerosis [G35], Reason for Study: ^Reason: MS, f/u progression History: weakness Brain MRIMultifocal bilateral confluent FLAIR/T2 high high signal intensity lesions on periventricular white matter, centrum semiovale and some on subcortical white matter. Bihemispheric sulci are prominent indicating mild volume loss. These findings are consistent with white matter disease such as multiple sclerosis. Comparing to prior scan, there is no significant interval change in terms of extent, distribution and number of those lesions. The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical spine MRISubtle T2 high signal intensity lesions distributed on cervical spinal cord, C23 level and C4 and C5 level are again seen without evidence of cord swelling.These findings are more conspicuous on today's scan especially on axial images. However, this could be related to different imaging techniques.Spinal alignment is anatomic. Vertebral body heights are preserved. Minimal neuro-foraminal narrowing is seen at the level of C4-5 right side otherwise unremarkable.
1. Unchanged bilateral white matter lesions of brain since prior scan in terms of size, distribution and extent.2. Unchanged ill defined spinal cord lesions since prior scan, though lesions are more conspicuous on today's scan most likely related to different imaging technique. 