Multiple sclerosis. Postpartum, ready to resume DMT, numbness Brain: Again seen are several scattered foci of T2/FLAIR hyperintensity in the supra- and infratentorial white matter with morphology and distribution consistent with known demyelinating disease. Again seen are relatively more prominent lesions involving the right precentral gyrus, right parietal periventricular white matter, as well as the left posterior middle cerebellar peduncle. Current study was obtained with higher resolution, and some small lesions appear new or more prominent when compared to prior, such as one in the right frontoparietal corona radiata; findings are therefore favored to be due to differences in technique. There are no new relatively larger lesions to definitively suggest progression. Few foci of T1 hypointensity are also again seen. No lesions with enhancement to suggest active demyelination. Brain parenchymal volume is preserved. No intracranial mass effect, midline shift, or herniation. Ventricle size is normal. Calvarium and extracranial soft tissue structures are grossly unremarkable.Cervical spine: There is no definite cord signal abnormality to suggest demyelinating disease involvement of the cervical cord. No abnormal enhancement. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is straightening of the cervical spinal curvature. Alignment is otherwise maintained. Bone marrow signal is benign. Unchanged T3 vertebral body lesion likely representing an atypical hemangioma. There is no significant disc disease or spinal canal or neural foraminal stenosis at any level.
1. No findings to suggest progression of demyelinating disease in the brain allowing for slight differences in technique.2. No evidence of demyelinating disease in the cervical spinal cord.