42 years Male (DOB:5/26/1973)Reason: please do dr Javed MS protocol compare to prior History: weakness, blurring of visionPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD There is redemonstration of periventricular white matter lesions perpendicularly oriented to the lateral ventricles as well as a lesion in the right cerebral peduncle and some subcortical white matter lesions. These appear stable and compared to the previous exam. No abnormal foci of contrast enhancement are appreciated within the brain parenchyma. Another FLAIR hyperintense lesions present in the left half of the cervical medullary junction.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 demonstrate mucous retention cyst in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is redemonstration of periventricular and subcortical white matter lesions as well as a lesion the right cerebral peduncle and left anterolateral aspect of the cervicomedullary junction which are stable since the prior exam and support the patient's clinical diagnosis of demyelinating disorder.