36 years Female (DOB: 6/18/1980)Reason: evaluate for new MS flair History: worsening left sided weaknessPROVIDER NAME: TAO G XIE TAO G XIE MRI brain:There is a mild to moderate degree of periventricular and subcortical white matter lesions present some which are perpendicularly oriented to the lateral ventricles. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal lesions are identified in the cervical spine. There is reversal of the normal cervical curvature present. There is mild disc desiccation present in the mid cervical spine. There are T2 signal hyperintense ill-defined lesions present in the upper cervical spinal cord extending from the C2 level down to the C3-4 disc space level as well as some patchy T2 signal hyperintense lesions within the lateral aspects of the lower cervical spinal cord bilaterally.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge present at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. The pattern is consistent with the patient's clinical history of demyelination. Contrast enhanced MRI may help distinguish acute or subacute from chronic lesions.2.Multiple patchy lesions throughout the cervical spinal cord are present without enlargement of the spinal cord. This consistent with the patient's clinical history of demyelinating disorder thyroid is nonspecific and could relate to a different entity such as transverse myelitis for example. Contrast enhanced MRI may help distinguish acute or subacute from chronic lesions.