Diagnosis: Multiple sclerosisClinical question: MS, f/u progressionSigns and Symptoms: paresthesiasComments: 3T DCAM, Dr Javed MS protocol version 1.1, No DTI | There are multiple periventricular and subcortical white matter lesions as well as some cortically based lesions present some which are perpendicularly oriented to the lateral ventricles. Compared to the prior exam no new lesions are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal 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.
Redemonstration and no change of multiple periventricular subcortical and cortical based lesions which would support the patient's diagnosis of demyelinating disorder.