Multiple sclerosis, history of sensory and worsening leg weakness. Brain: There are multiple supratentorial and infratentorial T2 hyperintense lesions. Some of the lesions demonstrate corresponding T1 hypointensity. However, there is no abnormal enhancement or associated restricted diffusion in any of these lesions. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is an unchanged subcentimeter cystic pineal gland. The major cerebral flow voids are intact. There is hypoplasia of the right maxillary sinus with mild mucosal thickening and mucosal thickening involving the right ethmoid sinus. There is also fluid within the right sphenoid sinus. The orbits, skull, and scalp soft tissues are grossly unremarkable.Thoracic Spine: The thoracic spinal cord signal appears unremarkable. There is no evidence of mass lesions or abnormal enhancement. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There are prominent posterior disc osteophyte complex at T6-T7 and T7-T8, which indent the spinal cord. There is also a right neural foraminal disc-osteophyte complex at T9-10. The paravertebral soft tissue structures are otherwise unremarkable.
1. No significant interval change of the demyelinating lesions in the brain.2. No evidence of demyelinating lesions in the thoracic cord.3. Prominent posterior disc osteophyte complex at T6-T7, T7-T8, and T9-T10 indent the spinal cord.4. Findings suggestive of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.