30 years Female (DOB: 10/14/1985)Reason: MS; f/u progression History: paresthesiasPROVIDER NAME: ADIL JAVED ADIL JAVED MRI brain:There is redemonstration of multiple periventricular and subcortical white matter lesions as well as scattered in the cerebellum and brainstem. Some of the lesions are perpendicularly oriented to the lateral ventricles some extend into the corpus callosum. Compared to the prior exam from March these do not appear to have changed substantially. 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 demonstrate an air-fluid level in the right maxillary sinus and a minor opacity in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:There are patchy foci of signal hyperintensity throughout the cervical spinal cord compared to 3/7/2016 exam these have not changed substantially in extent. Differences in the magnet used for differences conspicuity of lesions.The cervical vertebral bodies are appropriate in overall alignment and height. No abnormal enhancing lesions are identified in the cervical spine. There is a noted enhancing punctate focus in the spinal cord at the C2 level is not identified on the current exam.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Periventricular and subcortical white matter lesions as well as lesions in the brainstem and corpus callosum appear to be stable compared to the prior exam.2.Accounting for differences in MRI technique lesions identified in the cervical spinal cord also appear to be stable. A previously noted punctate focus of enhancement within the upper cervical spinal cord does not enhance on the current exam.3.Please note that because this is not an MRI of the orbits previously noted prechiasmatic left optic nerve enhancement would not be readily detected.