38 years Female (DOB: 10/25/1978)Reason: MS, f/u progression History: pain and gait issuesPROVIDER NAME: ADIL JAVED ADIL JAVED MRI brain: There is redemonstration of multiple periventricular and subcortical white matter lesions as well as lesions in the thalami, internal capsules, brainstem and cerebellum which were also present on the previous exam. These lesions appear to be similar in size and distribution number compared to the previous exam from 1/22/2015. Many of the lesions are perpendicularly oriented to the lateral ventricles. There are some lesions extending into the corpus callosum bilaterally. 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.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The distal spinal cord demonstrates some subtle T2 hyperintense lesions. They are not confirmed on axial imaging.. No abnormal lesions are identified in the lumbar spine. A T1 hyperintense lesion is identified in the L4 vertebral body and most likely represents a vertebral body hemangioma. It suppresses on the inversion recovery images.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is facet hypertrophy at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. Some subchondral cysts are present at the facet joints at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are periventricular subcortical white matter lesions present as well as lesions in the brainstem and cerebellum and deep gray nuclei and internal capsules which are stable and compared to prior exam. These are compatible patient's diagnosis of multiple sclerosis.2.There appear to be lesions in the distal thoracic spinal cord demonstrates some subtle lesions which are compatible with demyelinating disorder. If clinically indicated additional imaging of the thoracic spinal cord may help further assess these and confirm their presence.