Clinical question: Multiple sclerosis. Please perform Dr. Javed's MS protocol. Compared with prior exam. Signs and symptoms: Numbness, weakness and ataxia. Pre and post enhanced rain MRI:Multiple tiny foci of FLAIR hyperintensity are noted in the subcortical white matter of bilateral cerebral hemispheres. Similar signal changes are also noted in the periventricular white matter of cerebral hemispheres and including periventricular white matter of bilateral anterior and mid temporal lobes. Few tiny similar signal changes are also present in the corpus callosum on the left similar to prior exam. Findings demonstrate no convincing evidence of interval progression or detectable abnormal enhancement. Similar to prior exam there is no definitive detectable lesion in the posterior fossa.Unremarkable cortical sulci and ventricular system as well as the CSF spaces and with maintained midline.Unremarkable images through orbits, paranasal sinuses and mastoid air cells.Unremarkable calvarium and soft tissues of the scalp.
1.Supratentorial findings of demyelinating disease without convincing evidence of interval change or detectable abnormal enhancement as detailed.2.Unremarkable exam otherwise for patient's stated age.