Clinical question: Multiple sclerosis. Please perform exam with Dr.Javed's MS protocol. Signs and symptoms: Gait disorder. Pre and post enhanced brain MRI:Examination redemonstrate stable scattered foci of FLAIR hyperintensity in the periventricular and subcortical white matter of bilateral cerebral hemispheres as well as left basal ganglia and pons without convincing evidence of interval change/progression. Note should be made that some of the lesions appear more conspicuous on the current exam which is technique related secondary to utilization of 3T scanner on current study compared to 1.5 T scanner in prior exam. This change in particular is noticeable in the pons.There is no evidence of any enhancing demyelinating plaque on this study.Mild prominence of cerebral cortical sulci remains similar to prior study. Ventricular system are within normal size and without deviation of midline.
Stable scattered supratentorial and pontine foci of FLAIR hyperintensity consistent with patient's known multiple sclerosis without detectable enhancing plaque.