Migraine, unspecified, intractable, without status migrainosus [G43.919] / Other abnormal findings on diagnostic imaging of central nervous system [R90.89], Reason for Study: ^Reason: please do dr javed MS protocol compare to prior History: severe headache. Redemonstration of multiple scattered FLAIR/T2 high signal intensity lesion on bilateral periventricular white matter including right corona radiata lesion (series 901, image 108) which shows punctate contrast enhancement, unchanged in terms of approximate number, extent and size since prior scan. Again these findings are non specific thus differential diagnosis include demyelination, inflammatory conditions, vasculitis and ischemic lesions.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Multifocal scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter including a punctate enhancing lesion on the right side corona radiata, unchanged since prior scan.