53 years, Female, memory loss. Paresthesias. Javed MS protocol requested. Brain: Limited sequences per demounting protocol. Again seen are multiple foci of T2 hyperintensity scattered throughout the periventricular and subcortical white matter, some of which are nonspecific in appearance while others which are linear and pericallosal in distribution and compatible with reported history of demyelinating disease. No new lesion compared to 10/20/2015 is seen to suggest progression of demyelinating disease. There is no abnormal enhancement. No significant burden of T1 hypointense lesions. Brain parenchymal volume is also maintained. No suspicious intracranial mass or mass effect. Unchanged pineal cyst. Ventricles remain normal in size. Cervical spine: Vertebral body heights in the cervical spine are normal. There are postsurgical changes of anterior cervical fusion from C5 through C7, which are new since prior MRI from 5/7/2014. There is no abnormal signal in the cervical cord suggest demyelinating disease. There is punctate nonspecific T2 hyperintensity in the central cord at the mid C6 level which may relate to prior stenosis (ax T2, series 1801 image 11). There is mild to moderate spinal canal stenosis at the C6-C7 level related to a dorsally projecting osteophyte. Mild spinal canal stenosis is also present at C5-C6. Overall caliber of the spinal canal at these levels is improved since the prior MRI. No abnormal enhancement is appreciated.There is moderate to severe right C3-C4 neural foraminal stenosis related to uncovertebral hypertrophy and advanced right-sided facet arthropathy as before. There is also mild to moderate left and mild right C5-C6 neural foraminal stenosis as well as mild to moderate left and mild right C6-C7 neural foraminal stenosis. No findings to suggest progressive degenerative disease since 5/7/2014.
1. No new lesions in the brain.2. No abnormal signal in the cervical cord to suggest demyelinating disease. 3. Degenerative changes are again seen in the cervical spine with improvement in degree of spinal canal stenosis at C5-C6 and C6-C7, with interval anterior cervical fusion since prior MRI from 5/7/2014. Additional details as described above including a nonspecific punctate focus of T2 hyperintensity in the central cervical cord at the C6 level which may be related to prior stenosis. 