My 5th MRI Report

5-26-2004 MRI at Albany Advanced Imaging

MRI Brain WO/W Contrast

Clinical History: Multiple Sclerosis

Technical Factors:
Multi-planar, multi-sequence MR imaging of the Brain was performed before and after the administration of contrast.

Comparison with Brain MRI done on 9-21-1999. Multi-planar, multi-sequence MR imaging of the Brain was performed before and after the administration of contrast.

    Findings:

  1. There is no intra- or extra-axial hemorrhage. The Ventricles, Cisterns, and Sulci are prominent consistent with Atrophy, there is no evidence for mass or midline shift.
    • There is no region of acute infarct or abnormal area of enhancement.

  2. Again are seen multiple focal areas of T2 and FLAIR HyperIntensity within the PeriVentricular White Matter of both Cerebral Hemispheres.

  3. Additionally, there is again demonstration of more diffuse hazy area of T2 and FLAIR HyperIntensity within the PeriVentricular White Matter.

  4. Two dominant focal areas of signal abnormality are seen within the Right Corona Radiata. The more posterior area is not as apparent on today's examination. (View: Image)

  5. A few tiny focal areas are seen within the Left Corona Radiata which are mildly more prominent than prior study.

  6. Additionally, there is an area of signal abnormality involving the PeriVentricular White Matter, anterior to the Anterior Horn of the Left Lateral Ventricle which is more prominent than prior examination.

  7. None of these areas demonstrate abnormal enhancement after contrast administration.

    Impression:

  1. No evidence for IntraCranial hemorrhage or infarction.

  2. Multiple areas of signal abnormality within the White Matter of both Cerebral Hemispheres.
    • Most of these were present on prior examination from 1999, however some have regressed while others have become more apparent on today's study. (View: Image)

  3. These findings would be compatible with a clinical diagnosis of Multiple Sclerosis. None of these areas demonstrate enhancement at this time to suggest active plaque.

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