32 years Female (DOB:6/6/1983)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a moderate to marked degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Many of these are perpendicular to the lateral ventricles. Some extend to the corpus callosum. Additional lesions are present in the internal capsules and brain stem as well as the right cerebellar hemisphere. When compared to the prior exam there is not appear to be a significant interval change. The lesion along the posterior limb of the left internal capsule is less signal hyperintense on the current exam but otherwise unchanged. Other lesions in the midbrain are also less conspicuous. 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.
Redemonstration of multiple white matter lesions scattered throughout the brain but predominantly the supratentorial brain are stable when compared to the prior exam. Some of the lesions that were more conspicuous on the prior exam are less conspicuous on the current exam.