30 years Female (DOB:9/26/1985)Reason: MS please do dr Javed MS protocol History: paresthesiasPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular white matter lesions which are perpendicularly oriented to the lateral ventricles. They are approximately 10 or 11 in number. Some extend to the colossal cingulate junction. None of these periventricular white matter lesions enhance following contrast administration. They are asymmetric in number with more in the left hemisphere.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.The visualized upper cervical spinal cord suggests a FLAIR hyperintense lesion at the C2 vertebral body level.
1.Multiple periventricular white matter lesions are compatible patient's clinical diagnosis of demyelinating disorder.2.There is a suspected lesion present along the posterior aspect of the spinal cord at the C2 vertebral body level. If clinically appropriate MRI of the cervical spine may be of further benefit to confirm this and evaluate for others.