54 years Female (DOB:4/2/1961)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED MRI brain:There is redemonstration of a moderate degree of periventricular white matter lesions and subcortical white matter lesions many of which are perpendicularly oriented to the lateral ventricles. A right cerebellar lesion is redemonstrated. 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.Findings suggest fetal origin of the right posterior cerebral artery.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.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. There are multiple T2 signal hyperintense lesions scattered throughout the cervical spinal cord at the C3, C4, C5, C6 and C7 level without associated mass effect. Additional lesions are identified in the upper thoracic spinal cord as well. When compared to the previous exam these do not appear to have changed substantially.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to neural foramina. There is central disc protrusion present at this level with partial effacement of spinal fluid ventral but not posterior the spinal cord.At C4-5 there is no significant compromise to neural foramina. There is central disc protrusion present at this level with partial effacement of spinal fluid ventral but not posterior the spinal cord.At C5-6 there is no significant compromise neural foramina. There is a diffuse disc bulge present at this level with partial effacement of spinal fluid ventral and posterior the spinal cord. Overall there is mild spinal stenosis at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.There is redemonstration of multiple lesions scattered throughout the brain, cervical spinal cord and the visualized upper thoracic spinal cord which are compatible with demyelinating disorder. These appear stable and compared to the previous exams.2.There are multilevel degenerative changes present in the cervical spine with mild degree of spinal stenosis C5-6. This also appears stable compared to the prior exam.