Multiple sclerosis [G35], Reason for Study: ^Reason: headache h/o MS History: headache h/o MS Brain MRIMultifocal FLAIR/T2 high signal intensity lesions on bihemispheric white matter consistent with demyelinating disease.No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Brain MRV3D MRV brain post-gadolinium with maximum intensity projections of the superficial/deep intracranial venous drainage demonstrate normal flow enhancement in the superior sagittal sinus, transverse sinuses, sigmoid sinuses, internal cerebral veins, vein of Galen and straight sinus.
1. Multifocal bihemispheric white matter lesions consistent with demyelinating disease.2. Normal brain MRV. 