42 years Female (DOB:2/5/1974)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There is redemonstration of a a few punctate periventricular and subcortical white matter lesions which are a symmetrically more in the left versus the right hemisphere. They are hyperintense on FLAIR and T2 MRI and are not readily identified on T1-weighted imaging. They are predominantly subcortical in location. These were also present on the prior exam and do not appear to be significantly different. Approximately 15 lesions appreciated which appear to be stable.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.
1.There are periventricular and and predominantly subcortical white matter lesions present of mild degree which are stable compared to the prior exam these are nonspecific. The possibility that they're related to demyelination cannot be excluded.