53 years Female (DOB:1/3/1963)Reason: MS, follow up progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED There is redemonstration of periventricular white matter lesions as well as lesions in the corpus callosum, thalami, midbrain, right middle cerebellar peduncle and pons which are high signal on proton density imaging and FLAIR imaging. These lesions can be identified on the prior exam and have not changed substantially.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.
Periventricular white matter lesions, corpus callosum lesions, thalamic lesions and brainstem lesions are stable and compared to the prior exam. These are compatible with the patient's clinical history of multiple sclerosis.