55 years Female (DOB:5/23/1961)Reason: MS folow up History: nonePROVIDER/ATTENDING NAME: HALINA BRUKNER HALINA BRUKNER The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are stable compared to the prior exam from 8/4/2015. Some of the lesions are perpendicularly oriented to the lateral ventricles and extends to the colosso-cingulate junctionNo 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.
There is redemonstration of multiple periventricular subcortical white matter lesions as well as cerebellar lesions which are stable compared with previous exam. Although these lesions are nonspecific they do support the clinical diagnosis of multiple sclerosis.