27 years Male (DOB:12/11/1988)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There is redemonstration of multiple T2 and FLAIR hyperintense lesions in the corpus callosum, some periventricular white matter especially adjacent to the trigones of the lateral ventricles, the right internal capsule the right posterior lateral cervical cord at the C1 level, cerebellum, cervical medullary junction, brainstem as well as subcortical white matter in the frontal lobes. This appears stable compared to the previous exam.There is a hyperintense appearance along the optic nerves is present. It is suspected that this is artifactual.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 multiple lesions scattered throughout the brain which are stable compared to prior exam and compatible with patient's diagnosis of multiple sclerosis.2.Signal hyperintensity on T2 and FLAIR imaging on the optic nerves is suspected to be artifactual. Please correlate with patient's clinical symptoms related to the optic nerves to confirm.