Diagnosis: Anesthesia of skinClinical question: please do dr Javed MS protocol and compare to priorSigns and Symptoms: numbness The CSF spaces are appropriate for the patient's stated age with no midline shift. Incidental note is made of partial empty sella.There is redemonstration of multiple T2 and FLAIR hyperintense punctate lesions in the subcortical and periventricular white matter which were also present on the previous exam. They tend to be hypointense on T1. They appear to have been present on the prior exam and not substantially changed in number or location. However, they're more conspicuous on the current exam. The conspicuity may be explained in part due to differences in MR acquisition technique.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is redemonstration of multiple periventricular and subcortical white matter lesions which are nonspecific but compatible with the patient's clinical history of demyelinating disorder. They appear stable when compared to the prior exam in number and location. Differences in conspicuity may be accounted for on the basis of differences in MR acquisition technique.