 Brain: Compared to 1/12/2016, there is no significant change in areas of multiple small foci of restricted diffusion within the pons with surrounding associated T2/FLAIR signal abnormality consistent with edema. Some of these foci demonstrate peripheral enhancement on post-contrast imaging, while some are more homogeneously enhancing. Since the prior study from 1/12/2016, there is no new enhancement or new focus of edema to suggest worsening disease. The ventricles and sulci are normal in size. No midline shift or herniation.Spine: There is no abnormal enhancement within the spinal cord. There is no abnormal meningeal enhancement within the spine. Vertebral body heights and alignment in the cervical, thoracic, and lumbar spine is normal. Alignment is normal. There is no significant spinal canal or neural foraminal stenosis. Paraspinous soft tissues are grossly unremarkable.
1. Compared to 1/12/2016, there is no significant change in multiple foci of enhancement in the pons with restricted diffusion and surrounding edema. Findings are most favored to represent an infectious process with small abscesses.2. No new foci of enhancement or edema in the brain.3. No lesions within the spine are appreciated.