Multiple sclerosis [G35], Reason for Study: ^Reason: MS; f/u progression History: paresthesias Brain MRIMultiple scattered bilateral FLAIR/T2 high signal intensity lesions are seen bilateral corpus callosum, subcortical white matter, and periventricular white matter. The lesions are non specific but can be seen in demyelinating disease such as multiple sclerosis.The ventricles, sulci and cisterns are unremarkable. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.C-spine MRIThere are multilevel patchy T2/PD high signal intensity lesions on cervical spinal cord. The lesions are seen from C2 to C5 involving anterior and posterior aspect of the cord. These lesions in conjunction with brain parenchymal lesions are consistent with demyelinating lesion such as multiple sclerosis.There is normal cervical lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance.There is no evidence of spinal canal stenosis or neuroforaminal stenosis.No evidence of intervertebral disc herniation.
Supratentorial and cervical spinal multifocal patchy T2/FLAIR/PD high signal intensity lesions indicate consistent with demyelinating disease such as multiple sclerosis.