[chadntx]

Impression from the Brain Scan:
No acute intracranial abnormality is noted.
Multiple T2 and FLAIR hyperintense foci in bilateral periventricular white matter as described above likely consistent with demyelinating disease such as MS. No abnormal enhancement of these presumed demyelinating plaques is noted after administration of
intravenous gadolinium.

Impression From the Lumbar, Thoratic, and Cervical Scan (All read the same):
1. 2 areas of abnormal T2 signal hyperintensity without corresponding enhancement with the thoracic spine lesion expanding the cord mildly. These findings can be seen with the given history of multiple sclerosis, however they can also be seen in the
setting of transverse myelitis or ADEM, though less likely. Clinical correlation is recommended.

2. Focal T1/T2 hyperintensity in the thoracic spine likely representing hemangioma.