35 years Female (DOB:12/30/1980)Reason: Prior MRI shows lesions consistent with MS but no findings= RIS. Today has a babinski on the right so now CIS. Burden change? Activity? History: right Babinski Lhermitte's signPROVIDER/ATTENDING NAME: BARRY G. ARNASON BARRY G. ARNASON The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular white matter lesions present some which are perpendicularly oriented to the lateral ventricles as well as some lesions extending towards the orbits callosum along the colossocingulate junction. These are identified on the prior exam in have not changed to any significant degree. There is no associated contrast enhancement with these lesions current exam. Additionally there are white matter lesions present in the posterior fossa including the left middle cerebellar peduncle and medulla where there are stable lesions, however, there is a new lesion along the left superior semilunar lobule of the left cerebellar hemisphere which lesion has developed since the prior exam.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.
Since the prior exam patient developed a new lesion along the left cerebellar hemisphere. The rest of the study appears stable. Is omental patient's known clinical history of demyelinating disorder