Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified [R93.0] / Migraine with aura, not intractable, without status migrainosus [G43.109], Reason for Study: ^Reason: please compare to prior, please do Dr. Javed MS protocol, c Motion artifacts degraded exam quality.There are multifocal bihemispheric scattered high signa intensity white matter lesions on FLAIR images including bilateral frontal lobe, parietal lobe and corpus callosum, overall no change since prior scan in terms of size, number and signal intensity level.There is no evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. 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 bihemispheric and corpus callosum high FLAIR high signal intensity lesions indicating demyelinating disease, no change in terms of size, number of lesions and MR signal characteristics since prior scan.No evidence of abnormal enhancement.