49 years Female (DOB:11/5/1966)Reason: MS, f/u progression History: ParesthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a focus of encephalomalacia in the right frontal lobe.There is redemonstration of periventricular and subcortical white matter lesions of a mild to moderate degree which were also present on the previous exam. They have not changed significantly compared to the previous exam.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.
1.Periventricular and subcortical white matter lesions are present which are compatible with patient's diagnosis of demyelinating disorder. Appear stable compared to the previous exam.2.Encephalomalacia in the right frontal lobe.