Diagnosis: Multiple sclerosisClinical question: MS, eval for progressionSigns and Symptoms: paresthesiasComments: 3T DCAM, Dr Javed MS protocol version 1.1, No DTI | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of multiple periventricular white matter lesions and subcortical white matter lesions some which are perpendicularly oriented to the lateral ventricles. Additional lesions are present in the brainstem and cerebellum. Some lesions extend to the corpus callosum. These lesions were also present on the prior exam. There is no associated contrast enhancement with any of these lesions. Compared with the prior exam there is no interval change appreciated.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.
There is redemonstration of multiple periventricular and subcortical white matter lesions in the brain which are stable compared to the previous exam from 4/7/2015.