Diagnosis: Multiple sclerosis Unspecified adverse effect of drug or medicament, initial encounterClinical question: MS; f/u progressionSigns and Symptoms: paresthesias.Comments: 3T DCAM, Dr Javed MS protocol version 1.1, No DTI | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Some of these are perpendicularly oriented to the lateral ventricles. They're stable compared to the prior exam. An additional FLAIR hyperintense lesion is present in the right cerebellar hemisphere which is also stable compared to the prior examNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.
1.There are periventricular white matter lesions and subcortical white matter lesions which are stable compared to the prior exam and consistent with the patient's clinical history of demyelinating disorder.