45 years Female (DOB:8/25/1970)Reason: please do dr javed MS protocol, dx MS, SLE as well as strokes History: progression weaknessPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular and subcortical T2 and FLAIR small hyperintense lesions identified in the periventricular and subcortical white matter. Additionally there are patchy T2 and FLAIR hyperintense lesions in the brainstem. There is no associated abnormal enhancing lesion within the brain parenchyma. There is a developmental venous anomaly present in the left frontal lobe.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.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.
1.Multiple periventricular and subcortical white matter lesions are present. These are nonspecific. These are usual for age 45. Demyelinating disorder is one explanation for this. Other explanations include vasculitis and vascular related lesions.2.Patchy lesions in the brainstem are present. These are nonspecific. There could be vascular related or related to demyelination or vasculitis.