53-year-old female with multiple sclerosis and generalized weakness. MRI Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few unchanged scattered areas of white matter T2 signal abnormality predominately in the periventricular distribution and prominent perivascular spaces in the left basal ganglia. There is no evident abnormal enhancement. 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. There is a left maxillary sinus mucous retention cyst or polyp and mild right greater than left mastoid air cell fluid. The orbits, skull, and scalp soft tissues are grossly unremarkable.MRI Cervical Spine: The spinal cord appears unremarkable. The cervical spine alignment is maintained and the cervical vertebral bodies and disc spaces are appropriate in height. The bone marrow signal is within normal limits. There are mild multilevel degenerative spondylosis, particularly at C3-4, and C4-5, but no significant compromise of the spinal canal or neural foramina. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.Mild scattered white matter lesions are nonspecific and unchanged.3.Mild degenerative spondylosis, but no abnormality in the cervical spinal cord.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.