49 years Female (DOB:5/4/1967)Reason: please do dr javed MS protocol compare to prior History: progression MSPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and PD images. Some of these are perpendicularly oriented to the lateral ventricles. Many of these are associated with signal loss on T1-weighted imaging. There are also lesions involving the corpus callosum and cerebellum. Comparing to the prior exam from 3/12/2015 periventricular and subcortical white matter lesions as well as corpus callosum lesions appear to be relatively stable. Similarly the cerebellar lesions appear to be stable. There is a FLAIR hyperintense focus present within the upper cervical spinal cord at the C1 vertebral level. This particular focus is not clearly identified on the axial images nor the prior exam. There is associated artifact present. As a result is felt to represent artifact.The pituitary gland is at the upper limits of normal in height measuring approximately 8 mm in height. It has not changed substantially when compared to the prior examNo abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.
1.There are periventricular, subcortical, corpus callosum and cerebellar lesions present which in general appears stable compared to 3/12/2015. These are compatible with patient's diagnosis of multiple sclerosis.