Female, 34 years old, with numbness. Brain:Numerous small T2 hyperintense lesions are redemonstrated involving the periventricular and subcortical white matter of the cerebral hemispheres. Accounting for slightly improved image quality on the present examination, no convincing change in lesion size or number is seen. None of these lesions demonstrates any significant associated mass effect or pathologic enhancement.No new intracranial lesions are seen. No parenchymal edema is suspected. There is no evidence to suggest intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricular system is normal in size.C-spine:The visualized spinal cord demonstrates normal signal intensity and morphology throughout. No discrete lesions or areas of signal abnormality are seen. No pathologic enhancement is observed.Spinal alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits. The intervertebral disks are preserved. No significant spinal canal or neuroforaminal stenosis is seen.
1.Numerous small cerebral white matter lesions are again seen with no significant interval change in lesion size or number. None of these lesions shows evidence of pathologic enhancement.2.Normal evaluation of the cervical spine with no evidence of cord lesions.