39 years Male (DOB:10/22/1976)Reason: hx of MS, evaluate for progression on betseron History: weakness in shoulder, fatigue, balance problemsPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ There is redemonstration of multiple periventricular and subcortical white matter lesions present which are up to a centimeter in size. Some of these are perpendicularly oriented to the lateral ventricles. There are a couple located at the colossal cingulate junction. When compared to the prior exam these appear similar in number and distribution. No new lesions are clearly appreciated. Some additional lesions are present in the cerebellum and pons which are also stable. There is no abnormal enhancement associated with these lesions.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.
Multiple periventricular and subcortical white matter lesions are present compatible with patient's clinical history of multiple sclerosis. No new lesions are clearly appreciated