Clinical question: Multiple sclerosis, evaluate for progression. Signs and symptoms: Paresthesias. Nonenhanced brain MRI:Examination is performed utilizing a dedicated Dr.Javed's nonenhanced multiple sclerosis protocol.Lack of intravenous contrast, different in slice positioning and large number of lesions makes precise comparison with prior study difficult. Within this limitation however there is no convincing evidence of any appreciable interval progression of disease. Note however is made of interval decreased size of several of the demyelinating plaques since prior exam in supratentorial brain parenchyma. Similar to prior study there is no significant disease in the posterior fossa and moderate findings of demyelinating disease in the supratentorial space is again identified.Mild prominence of cortical sulci for age without significant change. Normal size of ventricular system and with maintained midline.
1.Revisualization of numerous supratentorial demyelinating plaques.2.No convincing evidence of interval progression of disease.3.Interval decreased size of several of the demyelinating plaques since prior study in the supratentorial space.