Reason: please do Dr javed MS prtocol on 3 tesla History: MS, gait disorder The CSF spaces are appropriate for the patient's stated age with no midline shift. Multiple periventricular and subcortical white matter lesions present asymmetrically located to the left hemisphere some of which are perpendicularly oriented to the lateral ventricles. There total of approximately 10 or 15 lesions present. No associated enhancement following gadolinium administration is appreciated in association with these lesions.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.
Periventricular and subcortical white matter lesions are suspicious for demyelination.