53 years Female (DOB:10/13/1962)Reason: please do dr javed MS protocol compare to prior History: leg weakness, fatigue, dysequilibriumPROVIDER/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 periventricular and subcortical white matter lesions present within the brain parenchyma. These were also present on the prior exam. They have not significantly changed in number relative to the prior exam. No new lesions are appreciated. There are also several lesions present in the cerebellum and brainstem which are also unchanged. No abnormal enhancing lesions are appreciated within the brain parenchyma in association with these.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.
There is redemonstration of multiple white matter lesions present within the subcortical and periventricular white matter as well as in the posterior fossa which are stable when compared to the prior exam.