31 years Female (DOB:4/20/1984)Reason: signs of MS History: left weakness, fatiguePROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There are approximately 15 periventricular and subcortical white matter lesions present which are high signal on T2 and FLAIR sequences. Some of these are perpendicularly oriented to the lateral ventricles and several extends to the colossal cingulate junction. On T1-weighted imaging the appear somewhat hypointense but less conspicuous. There is no associated susceptibility effect with these lesions.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 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 lesions are appreciated within the cervical spinal cord.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.There is a mild degree of periventricular and subcortical white matter lesions which are suspicious for demyelinating disorder and compatible with patient's clinical history of multiple sclerosis. 2.No cervical spinal cord lesions are appreciated.