Multiple sclerosis [340], Reason for Study: ^Reason: please do dr javed MS protocol and compare to prior History: progression MS There are multifocal scattered various sized high signal intensity lesions on FLAIR images including right precentral gyrus, corpus callosum body, left trigone area, left internal capsule posterior limb, and right temporo-occipital white matter.There is one lesion on the right middle frontal gyrus which is a new lesion comparing to prior scan. There is no evidence of contrast enhancement on any of lesions seen on FLAIR images.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or 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.
1. Grossly unchanged the size and number of white matter high signal intensity lesions on FLAIR images as described above except one new lesion at the right middle frontal gyrus.2. No evidence of abnormal enhancement.