Clinical question: Please perform Dr.Javed MS protocol 3T scanner. Signs and symptoms: Fatigue, blurring, vertigo, weakness. Nonenhanced brain MRI:Examination demonstrate few tiny foci of flair hyperintensity in the subcortical white matter of bilateral cerebral hemispheres. There is subtle flair hyperintensity in the periventricular white matter of right hemisphere in the posterior parietal occipital region is also noted. There is no convincing evidence of lesions within the corpus callosum or in the posterior fossa. The cerebral cortex, cortical sulci, ventricular system, CSF spaces and margination of brain is otherwise within normal.Calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells are unremarkable.
Few small punctate nonspecific foci of subcortical flair hyperintensity in bilateral cerebral hemispheres and questionably of periventricular white matter on the right.