37 years Female (DOB:9/11/1979)Reason: ms activity? History: 4 Gd+ lesions in AprilPROVIDER/ATTENDING NAME: ANTHONY T. REDER ANTHONY T. REDER There is redemonstration of multiple periventricular and subcortical white matter lesions some which are perpendicularly oriented to the lateral ventricles one in the left centrum semiovale appears larger on the current exam measuring approximately 11 x 6 mm axial dimensions on the current exam and 4 x 4 mm on the prior exam. It is not associated with contrast enhancement. Another one in the root entry zone of the right trigeminal nerve appears to be absent on the prior exam.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.
Since the previous examination the patient is developed a new lesion in the posterior fossa related to the trigeminal ganglion and enlargement of another lesion in the left centrum semiovale only. No abnormal enhancing lesions are appreciated to suggest acute lesions. These are consistent with the patient's multiple sclerosis history.