 Brain: The images are partly degraded by dental brace artifact. There are several predominantly periventricular callososeptal T2 hyperintense white matter lesions without associated enhancement, similar to prior examination. However, a punctate nonenhancing focus of T2 hyperintensity adjacent to the left lateral ventricle appears to be new. There is a blush of enhancement the mid pons, consistent with capillary to telangiectasia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.  Cervical Spine: There appears to be a T2 hyperintense lesion in the right spinal cord at the C2-C3 level. There are no enhancing spinal cord lesions. There is lack of the usual cervical lordosis, but no spondylolisthesis. The vertebral body heights are preserved. The bone marrow appears unremarkable. There is no evidence of significant spinal canal stenosis or neuroforaminal narrowing. The paraspinal soft tissues are unremarkable.
1. Multiple intracranial demyelinating lesions, with what may represent a small new lesion in the left parietal lobe periventricular white matter, although assessment is limited by differences and dental artifact.2. Possible small demyelinating lesion in the right upper cervical spinal cord, without enhancing lesion to suggest acute inflammation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.