36 years Female (DOB:6/6/1980)Reason: MS; f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There is redemonstration of multiple periventricular and subcortical T2 and FLAIR signal hyperintense lesions as well as punctate lesions in the posterior limbs of internal capsules and the couple lesions in the right cerebellar hemisphere and in the brainstem. These lesions were present on the prior exam and have not changed substantially.Incidental note is made of cavum septum pellucidum and cavum vergae.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 are multiple lesions scattered throughout the periventricular and subcortical white matter and to a lesser degree posterior fossa which are stable compared to the previous exam. These are now with patient's clinical diagnosis of demyelinating disorder.