42 years Female (DOB:7/7/1973)Reason: MS; F/U progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There is redemonstration of multiple periventricular and subcortical white matter lesions within the brain parenchyma many of which are perpendicularly oriented to the lateral ventricles. In general there is not appear to be a substantial change in the number or size of these lesions. There are several punctate cerebellar white matter lesions and brainstem lesions which are also stable. Additional lesions in the corpus callosum were also stable. One brainstem lesion is present in the left posterior lateral aspect of the medulla whereas others are present in the left half of the pons.A previously noted lesion in the left inferior parietal lobule is not seen on the current examNormal 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 prior exam there is no significant change. There is a lesion left inferior parietal lobule which is not identified on the current exam and was present on the previous exam. There are multiple periventricular and subcortical white matter lesions as well as a few lesions in the cerebellum and brainstem which are compatible with the patient's diagnosis of demyelinating disorder.