Multiple sclerosis [G35], Reason for Study: ^Reason: please do dr javed MS protocol compare to prior History: gait disorder, memory loss Brain MRIMultifocal mainly bihemispheric FLAIR high signal intensity white matter lesions including bilateral corpus callosum are demonstrated and are consistent with demyelinating disease such as multiple sclerosis. Comparing to prior scan performed on Sep 5 2014, although the scan parameters (FOV and slice thickness) are different, there is no significant interval change in terms of number, extent and configuration of white matter lesions.There is no evidence of abnormal enhancement. The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.C-spine MRIThere are multifocal T2/STIR high signal intensity lesions in spinal cord at the level of C2, C2-3 disc, and T3 to T4 level indicating involvement of demyelinating disease.There are ligamentum flavum hypertrophy at the level of C45 to C67 without evidence of neural foraminal stenosis. The C67 intervertebral disc shows diffuse bulging which abuts thecal sac.The cervical spine intervertebral discs show disc degeneration.The bone marrow and end plates demonstrate a normal MR appearance. There is no evidence of cord compression.
1. Unchanged multifocal bihemispheric white matter multiple sclerosis lesions since prior scan.2. No evidence of abnormal enhancement.3. Multiple cervical and thoracic spinal cord lesions which are consistent with spinal cord involvement of multiple sclerosis.