Clinical question: Please perform Dr.Javed's dedicated multiple sclerosis protocol on 3T. Pre-and post-enhanced brain MRI:Examination is performed utilizing Dr.Javed's dedicated multiple sclerosis protocol.Examination demonstrates numerous small varying sized foci of flair hyperintensity throughout the cerebral and cerebellar hemispheres without convincing evidence of any significant change since prior study. Multiple the very large number of lesions makes precise comparison difficult. Findings consistent with patient's known demyelinating disease. There is no detectable abnormal enhancement of any of the lesions on post enhanced series. There is ex vacuo dilatation of the supratentorial ventricles without change since prior exam and with maintained midline. There is also slight prominence of cortical sulci with the patient's stated age similar to prior exam. Findings are suggestive of underlying parenchymal volume loss.
1.Extensive findings of chronic demyelinating disease involving supra-and infratentorial brain parenchyma without convincing evidence of interval change. There is no detectable abnormal enhancing plaque.2.Ex vacuo dilatation of supratentorial ventricles and cerebral cortical sulci similar to prior exam.