Female, 43 years old, with multiple sclerosis. Brain:Approximately 10 T2 hyperintense lesions are evident in the periventricular and juxtacortical regions of the cerebral hemispheres as well as the genu of the corpus callosum. There may also be a lesion at the midline superior pons but this could also be artifactual.Since the prior examination, three new lesions are identified, one in the right parietal lobe (image 57 series 601), one in the left operculum) image 52 series 601), and one in the left temporal lobe (image 39 series 601). A periventricular lesion along the right lateral ventricular atrium may have slightly increased in size but this is equivocal.No evidence of parenchymal edema or mass effect is seen. No abnormal extra-axial collections are detected. The ventricles remain normal in size and morphology. Overall brain volume is relatively preserved.C-spine:No focal cervical cord lesions are demonstrated. The spinal cord shows normal morphology throughout. No epidural abnormalities are suspected.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is observed.At C5-6, there is mild posterior disc-osteophyte complex formation with left uncovertebral hypertrophy resulting in mild left foraminal narrowing, without significant interval change. No other significant spinal canal or foraminal compromise is seen.
1.Multiple T2 hyperintense lesions are evident in the brain compatible with demyelinating disease. Three lesions are new when compared to the prior examination and one pre-existing lesion may be slightly larger.2.No evidence of demyelinating disease is seen in the cervical spinal cord.