Reason: please do Dr. Javed MS protocol History: headaches and numbness. Brain: Compared to 10/31/2014, no significant change is seen in the multiple scattered foci of FLAIR hyperintensity within the periventricular, juxtacortical, and deep white matter. No new lesions. No lesions with enhancement to suggest active demyelination. There is no evidence of intracranial mass or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Brain parenchymal volume is within normal limits for age.Cervical Spine: There is no convincing T2 signal abnormality or enhancement of the spinal cord. Apparent T2 hyperintensity in the right ventral cord at the C4 level on the axial T2 sequence is not corroborated on the other sequences and likely artifactual. There are mild degenerative changes in the cervical spine including facet arthropathy but without significant spinal canal or neural foraminal stenosis at any level. There are unchanged enhancing foci within the C7 and T4 vertebral bodies with some T1 hyperintensity associated with the T4 lesion, and favored to represent hemangiomas. The vertebral body heights and alignment are preserved, aside from trace retrolisthesis of C6 on C7 as seen before.
1. Compared to10/31/2014, there are no new lesions or abnormal enhancement to suggest active demyelination. 2. No evidence of demyelinating lesions within the cervical spinal cord.3. Enhancing focus within the C7 and T4 vertebral bodies likely represent hemangiomas.