Clinical question: please do Dr. Javed MS protocol. Signs and Symptoms: left sided weakness and tremor Pre and post enhanced brain MRI:There is a tiny focus of FLAIR hyperintensity in the subcortical white matter of right posterior frontal and a small ill-defined focus of FLAIR hyperintensity in the subcortical white matter of right posterior temporal/parietal white matter. A punctate focus of FLAIR hyperintensity is also noted in the subcortical white matter of left frontal lobe. These lesions demonstrate no enhancement. The signal intensity and overall morphology of the brain and without abnormal enhancement.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces, corpus callosum and brain myelination otherwise and without abnormal enhancement.
1.Tiny subcortical foci of FLAIR hyperintensity in bilateral cerebral hemispheres without abnormal enhancement as detailed. There are no prior exams for comparison.2.Unremarkable pre and post enhanced study otherwise.