MRI BRAIN WITH AND WITHOUT CONTRAST (MS PROTOCOL), Jul 17, 2013 04:25:00 PM

INDICATION: Multiple sclerosis; numbness and weakness782.0 Numbness

COMPARISON: None

TECHNIQUE: Multiplanar, multi-sequence MR imaging of the entire brain was performed before and after intravenous administration of gadolinium-based contrast, including thin-section T2-FLAIR images per MS protocol.

FINDINGS:
. Skull/Marrow/Soft tissues: Unremarkable
. Orbits/Optic nerves: Grossly unremarkable
. Sinuses: Imaged portions clear
. Brain (excluding MS-related lesions): No acute ischemia. No hemorrhage, hydrocephalus, or abnormal mass effect.
. White matter: Multiple scattered small T2/FLAIR hyperintense lesions within the subcortical and periventricular white matter. None of these lesions enhance or restrict diffusion.
. Contrast: No contrast-enhancing lesions
Impression

Multiple scattered small T2/FLAIR hyperintense lesions within the subcortical and periventricular white matter. This finding is abnormal but nonspecific and may reflect the sequela of chronic microvascular disease or prior demyelinating process. Other etiologies include remote trauma, inflammation or chronic ischemia due to migraine or other vasculopathies.

Findings discussed with Dr. P by Dr. G:r at 4:45 p.m. on 7/17/2013.