Diagnosis: Multiple sclerosisClinical question: MS, f/u progressionSigns and Symptoms: paresthesiasComments: 3T CCD, MS protocol. There is redemonstration of multiple subcortical and periventricular white matter lesions which were also present on the prior exam and does not appear to have changed in number or extent.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.
Multiple periventricular subcortical white matter lesions are stable compared to the prior exam. These support the clinical diagnosis of multiple sclerosis.