45 years Female (DOB:12/10/1970)Reason: please do dr javed MS protocol compare to prior History: weakness and fatiguePROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD There is a marked degree of periventricular , subcortical, corpus callosum and to a lesser degree cerebellar white matter lesions which are hyperintense on T2 and FLAIR MRI but not associated with contrast enhancement and not significantly changed since the prior exam.An ill defined 6mm focus of enhancement adjacent and anterior to the right putamen is present and unchanged since the previous exam..A10 mm extra axial mass adjacent to the right occipital lobe is stable since May but measured 8 mm in 2011.No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 nasopharyngeal soft tissue thickening present. This was also present on the prior exam.
1.Extensive white matter lesions are stable since the prior exam.2.An enhancing lesion adjacent to the right putamen is not associated with T2/FLAIR signal abnormality and is thus of uncertain significance. It is unchanged since the prior exam.3.An extra-axial mass adjacent to the right occipital lobe is stable since May but has slightly enlarged wince 2011. Presumably this represents a small meningioma.4.There is nasopharyngeal soft tissue thickening present. This is non-specific. Please correlate with clinical exam findings. It is stable compared to the prior exam