58 years Male (DOB:2/14/1958)Reason: MS, follow up progression History: diplopiaPROVIDER/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 T2 and FLAIR signal hyperintense foci present which were also present on the prior exam. There does not appear to be any new lesions on the present exam when compared to the previous. There are total of approximately 10 or 12 the lesions identified. The majority are supratentorial. However, there is a larger one is located along the posterior aspect of the pons which extends to the medulla.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.
There are multiple periventricular and subcortical white matter lesions as well as a larger lesion in the brainstem which are compatible with patient's diagnosis of demyelinating disorder. They appear to be stable compared to the prior exam.