41 years Male (DOB:4/20/1975)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular and subcortical white matter lesions present which are bright on T2 and FLAIR MRI and low signal on T1-weighted imaging which are perpendicularly oriented to the lateral ventricles. Additional similar appearing lesions are present in the left cerebral peduncle, the right pons, the right medulla as well as the right cerebellar hemisphere. Additional similar-appearing lesion is present along the left posterior lateral aspect of the spinal cord at the C2 vertebral level.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.Multiple periventricular and subcortical white matter lesions as well as brainstem lesions and cervical spinal cord lesion are present. These are compatible with patient's clinical history of multiple sclerosis.