23 years Female (DOB: 8/29/1992)Reason: MS, f/u progression History: paresthesiasPROVIDER NAME: ADIL JAVED ADIL JAVED MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a moderate degree of periventricular and subcortical white matter lesions. Some of these are perpendicularly oriented to the lateral ventricles. Previously noted lesions that enhanced are now significantly smaller. There are no enhancing lesions appreciated on the current exam.No abnormal enhancing 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is redemonstration of T2 hyperintense lesions along the cervical spinal cord. These appear smaller on the current exam and there are no longer associated with contrast enhancement. One is located the left posterior lateral aspect of the spinal cord at the T3-4 level another one 0 scattered in the right posterior lateral cord and left anterolateral cord at the C4 level. One is located the left anterolateral aspect of the C5-6 level.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There are multiple periventricular subcortical white matter lesions throughout the brain which are compatible with demyelinating disease. Since the prior exam enhancing lesions no longer enhance and are also smaller when compared to the previous exam. The previously enhancing lesions are likely the chronic stage currently.2.Multiple lesions present in the cervical spinal cord compatible with demyelination which also do not enhance on the current exam and previously enhanced following contrast administration. These are also smaller on the current exam. The previously enhancing lesions are likely the chronic stage currently.