Multiple sclerosisClinical question: MS; f/u progressionSigns and Symptoms: paresthesias The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a mild to moderate degree of periventricular and subcortical white matter lesions which are high signal on FLAIR and T2 MRI. Some of these lesions course to the corpus callosum. Many of these lesions are associated with T2 hypointensitiesNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 demonstrate scattered opacities in the ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There are multiple periventricular white matter lesions present which were also present on the prior exam and have not changed. No new lesions are identified.