37 years Female (DOB:10/6/1978)Reason: please do dr javed MS protocol on 3T, compare to prior outside MRI ( in PAX) History: numbness, migraine, vertigoPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of several punctate subcortical and periventricular white matter lesions which are bright on FLAIR MRI. There is no associated contrast enhancing lesion within the brain parenchyma.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.The cerebellar tonsils are low lying extending 4 mm below the level of the foramen magnum.
1.There are several periventricular and subcortical white matter lesions present not significantly changed since the prior exam. This does not number is too small/early to the imaging criteria for demyelination. No abnormal enhancing lesions are appreciated within the brain parenchyma to suggest acute plaque.2.Low-lying cerebellar tonsils.