Multiple sclerosis [G35], Reason for Study: ^Reason: please do dr javed MS protocol, compare to prior History: facial numbness and parotid pain, numb left side of tongue, abnormal taste in mouth on left side Multiple FLAIR high signal intensity lesions were seen on bilateral hemispheres and brain stem.Most of them were seen on prior MRI and some of them show brighter signal intensity comparing to prior scan including a focal lesion at the left superior temporal gyrus mesial aspect just inferior-anterior aspect of the left gyrus of Heschl. However, due to technical differences between two examinations, their clinical implication of these imaging finding cannot be determined.There are, however, at least one new lesion on the right superior frontal gyrus on today's scan. The ventricles, sulci and cisterns are symmetric and unremarkable. There is no 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.
Grossly unchanged multiple FLAIR high signal intensity lesions with some lesions showing higher signal intensity than prior exam. In addition, there is one new lesion at the right superior frontal gyrus on today's scan.