Multiple sclerosis. Paresthesias. Follow-up/assess for progression. Brain: Accounting for differences in technique, there is no significant change in the few T2 hyperintense and T1 hypointense cerebral white matter lesions. The cerebellar tonsils are minimally low-lying. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits and skull are unremarkable. There is mild mucosal thickening in the paranasal sinuses. There is cosmetic filler material in the forehead and cheeks. Cervical Spine: The T2-hyperintense posterior spinal cord lesion at C3 level is unchanged. The smaller posterior spinal cord lesion at the inferior C7 level is unchanged. The right-sided peripheral cord lesions extending from mid C5 through lower C6 level and also at C3-C4 level are unchanged as well. There is multilevel cervical degenerative spondylosis, which is most pronounced at C5-C6, where a disc protrusion that indents the ventral aspect of the thecal sac and abuts the spinal cord and results in right foraminal stenosis. The vertebral column alignment is unchanged.
1. Accounting for differences in technique, no significant change in the few cerebral white matter lesions and multiple cervical spinal cord lesions are not changed.2. Multilevel degenerative spondylosis, which is most pronounced at C5-C6.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.