Female, 52 years old, vertigo, right hand tingling and retinal migraines. Brain:Several scattered small T2 hyperintense white matter lesions are seen involving the subcortical white matter of the frontal lobes, and the left middle cerebellar peduncle. These are stable to smaller when compared to the prior examination. One small T2 hyperintense lesion is also evident within the splenium of the corpus callosum, smaller than on the prior exam. No new lesions are evident. No additional corpus callosum or periventricular lesions are seen.No evidence of significant parenchymal edema or mass effect is seen. No abnormal extra-axial collections are detected. The ventricular system is normal in size and morphology.C-spine:Mild reversal of the cervical lordosis is seen. Vertebral body height is preserved. Degenerative endplate irregularity is noted at C6-7, but elsewhere vertebral body morphology and signal characteristics are within normal limits.The visualized spinal cord demonstrates normal signal intensity and morphology. No focal lesions are suspected. No epidural abnormality is seen.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Right greater than left uncovertebral hypertrophy. No significant spinal canal stenosis. Mild right foraminal narrowing. C4-5: Mild posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation. Effacement of the ventral thecal sac but no significant generalized canal stenosis. Mild right foraminal narrowing. C6-7: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.Scattered small white matter lesions are redemonstrated within the supratentorial and infratentorial brain. None of these lesions has progressed from prior, and some are smaller. No new lesions are detected. The lesions are nonspecific in morphology and distribution, and could reflect the sequelae of demyelinating disease, vasculitis, migraine headache, or some other inflammatory process.2.No convincing evidence of any cervical spinal cord lesions are seen. Relatively mild disc degeneration is seen in the cervical spine but with no areas of high-grade spinal canal or foraminal stenosis.