56 years Female (DOB:3/20/1960)Reason: MS eval for lesion load History: ataxiaPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There are multiple periventricular and subcortical white matter lesions present many which are perpendicularly oriented to the lateral ventricles. Lesions are also present at the colossal cingulate junction. There are several T2 and FLAIR hyperintense lesions in the cerebellar hemispheres one located in the left dentate nucleus. 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 demonstrate partial opacification of right mastoid air cells and middle year. Some minor opacities are present in the left mastoid The visualized portions of the orbits are intact.
There are multiple periventricular subcortical white matter lesions present. There is general appearance are consistent with demyelinating disorder. In particular there is one lesion located in the region of the left dentate nuclei left cerebellar hemisphere which may account for the patient's ataxia.