Paresthesia. Diagnosed with multiple sclerosis since 2010. Prior MR examinations are not available for direct comparison. Brain:Limited brain sequences were obtained as per the demyelinating disease protocol. There are more than 10 cerebral white-matter T2-hyperintense lesions, many of which are oriented perpendicular to the long axis of the lateral ventricles as well as involving the corpus callosum consistent with known demyelinating disease. Some of the lesions are T1-hypointense. There is no definite involvement of the brainstem and cerebellum. There is no space-occupying brain lesion or mass-effect. There is no midline shift or brain herniation. Overall brain volume is very minimally decreased. The major intracranial vascular flow voids are preserved. The orbits show no gross abnormality. There is no destructive skull lesion.Cervical spine:There is extensive T2-hyperintense signal throughout the cervical spinal cord, which is more focal at C2, C5-C6 and C6-C7 levels. This is associated with areas of volume loss/cord thinning such as at the dorsal C6-C7 and right dorsal at C5-C6. An additional smaller right central lesion is present on the cervicomedullary junction. There is an incidental small right thyroid lobe nodule that is T2-hyperintense.
1.Brain: Multiple cerebral T2/FLAIR hyperintense lesions are compatible with the given diagnosis of multiple sclerosis. There is mild-to-moderate burden of T1 hypointense lesions and minimal overall brain volume loss.2.Cervical spine: Multiple cervical spinal cord lesions are present consistent with demyelinating disease. Areas of volume loss in the cord also noted indicating chronicity.3.No prior MRI studies are available for comparison. Addendum can be issued if images are made available for comparison.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.