 Brain:There are multiple nonenhancing foci of T2 hyperintensity within the supratentorial white matter, a majority of which are subcortical in location, with a few periventricular. There are no posterior fossa lesions. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. A small amount of mucosal thickening is present within a single anterior right ethmoid air cell. The remaining paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. Cervical spine:There are nonenhancing T2 hyperintense foci within the cervical cord at the following locations: C2/3 left lateral cord, C3/4 posterior central cord, and C4 right posterolateral cord. There are other suspicious T2 hyperintense foci, however are small and subtle and may reflect artifact.There is reversal of normal upper cervical curvature. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: UnremarkableC4/5: Mild disc bulge causing slight anterior cord flattening without stenosis.C5/6: There is a right paracentral disc extrusion which extends below the disc level, causing anterior right hemicord flattening. There is no significant stenosis.C6/7: UnremarkableC7/T1: UnremarkableThoracic spine:Axial T2 images demonstrate what appears to be T2 hyperintense lesion within the posterior midline thoracic cord, not confirmed on sagittal imaging. A T2 hyperintense lesion is noted within the left hemicord T11. A subtle more diffuse T2 hyperintense lesion is noted at the T12 level. None demonstrate contrast enhancement.There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy. There are no masses. There is no abnormal enhancement.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment.
1.There are multiple nonenhancing foci of T2 hyperintensity within the supratentorial white matter, a majority of which are subcortical in location, with a few periventricular. There are no posterior fossa lesions.2.There are nonenhancing T2 hyperintense foci within the cervical cord at the following locations: C2/3 left lateral cord, C3/4 posterior central cord, and C4 right posterolateral cord. There are other suspicious T2 hyperintense foci, however are small and subtle and may reflect artifact.3.C5/6: There is a right paracentral disc extrusion which extends below the disc level, causing anterior right hemicord flattening. There is no significant stenosis.4.Axial T2 images demonstrate what appears to be T2 hyperintense lesion within the posterior midline thoracic cord, not confirmed on sagittal imaging. A T2 hyperintense lesion is noted within the left hemicord T11. A subtle more diffuse T2 hyperintense lesion is noted at the T12 level. None demonstrate contrast enhancement.