MS compare to prior evaluate for progressionSigns and Symptoms: restless legs and tingling in legs MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several periventricular white matter lesions present and several subcortical white matter lesions which have been identified on prior exam from 2008 and do not appear to have changed. Other lesions in the corpus callosum were also present on the prior exam and also appear relatively stable. A small lesion along the ventral aspect of the medulla was also present on the prior exam.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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. A lesion along the right posterior lateral aspect of the spinal cord at the T1 vertebral body level was also present on the prior exam and has not changed. Another one at the left posterior lateral aspect of the spinal cord at the C4-5 disc space level vertebral body level was also present on the prior exam and is unchanged. One at the right posterior lateral aspect at C3-4 was not clearly visualized on the prior exam.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.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.Since the prior examination lesions identified within the brain parenchyma appear to be stable. These are nonspecific but can be explained by demyelination.2.There are multiple lesions scattered throughout the cervical spinal cord compatible with demyelination. Since the prior exam the majority of the lesions identified on the prior exam are also identified on the current exam however can't appears to be a new right sided lesion at the C3-4 level.