Diagnosis: Multiple sclerosisClinical question: please do on 3 T Dr Javed MS protocol compare to priorSigns and Symptoms: progression MS MRI brain:There is redemonstration of a moderate degree of periventricular and subcortical white matter signal hyperintense lesions on the FLAIR and T2-weighted images some which are perpendicularly oriented to the lateral ventricles and some are located in the corpus callosum. These tend to be hypointense on T1 and are stable and compared to the previous exam there is no associated contrast enhancement at these lesions.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.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Multiple periventricular subcortical white matter lesions are present as well as corpus callosum lesions which are stable since the prior exam and compatible with patient's clinical diagnosis of demyelinating disorder.2.There is no compromise to cervical spinal canal or exiting nerve roots and no lesions detected in the cervical spinal cord.