55 years Female (DOB:9/4/1960)Reason: MS, f/u progression History: weaknessPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is redemonstration of a moderate degree of periventricular and subcortical white matter lesions which have not changed since the prior exam. Similar lesions are perpendicularly oriented to the lateral ventricles and there is involvement of the corpus callosum. Additionally, there are lesions in the internal capsules, left basal ganglia and cerebellum which are also stable since the prior exam.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.
Since the previous exam there is no significant change in the common cerebellar, internal capsule, corpus callosum, periventricular and subcortical white matter lesions. These are compatible with the patient's clinical diagnosis of multiple sclerosis.