55 years Female (DOB:2/11/1961)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing lesions are appreciated within the brain parenchyma.There is redemonstration of a mild-to-moderate degree of periventricular white matter lesions which are perpendicularly oriented to the lateral ventricles as well as some subcortical white matter lesions. These are bright on flair and T2 MRI. These are stable when compared to the prior exam.There is redemonstration of a small subdural effusion which is stable compared to the prior exam. Most likely is related to volume loss.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 demonstrates opacification of the left maxillary sinus which has regressed since the prior exam . The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is a mild to moderate degree of periventricular white matter lesions present which are suspicious for demyelination and is stable compared to the prior exam.