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Observation: There is no intra or extra-axial hemorrhage. The ventricles, cisterns, and sulci are prominent consisten with atrophy. This is more prominent within the parietal lobes. Periventricular areas of T2 and Flair hyperintensity are seen within the white matter of both cerebral hemispheres. This finding is nonspecific. Many of these lesions extend into the corpus callosum and would be consistent with demyelinating plaques of MS.
Following intravenus administration of gadoteridol, there is mass or midline shift.No diffusion abnormalities are noted to suggest acute infraction.
Sep 22, 2014
(Started Mar 19, 1986)
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Advice & Tips:
There is no intra or extra-axial hemorrage. The ventricles, cisterns, and sulci are prominent consistent with atrophy. There is more localized cortical atrophy seen within the parietal lobes bilaterally, left greater than right. Again are seen multiple focal areas of T2 and Flair hyperintensities within the corona radiata and centrum semiovale of both cerebral hemispheres. Many of these lesions have a perpendicular orientation with the corpus callosum as well is extened into the corpus callosum. There is increased T2 hyperintensitiy extending to the right lateral splenium of the corpus callosum. One focus of signal abnormality seen within the anterior right lateral pons and within the left middle cerebellar peduncle, unchanged. This would be consistent with patient's clincl history of Multiple Sclerosis. Following intravenous administration of gadoteridol contrast, there is no evidence of abnormal enhancement. No diffusion abnormalities are noted to suggest acute infraction. Impression:
1. Multiple white matter T2 hyperintensities compatible with clinical diagnosis of Multiple Sclerosis. A new lesion is seen to extend further into the right lateral aspect of the splenium of the corpus callosum. No abnormal areas of enhancement or restricted diffusion. 2. Atrophy with localized bilateral parietal lobe cortical atrophy, left greater than right, unchanged. Interpreted by: Nick Petitti on Sept. 22, 2014.
Showing 1 of 1 patient evaluation for MRI Brain and Spine