MR Head wo Contrast
MRI BRAIN WITHOUT CONTRAST
CLINICAL STATEMENT: Multiple sclerosis diagnosed in 2001. Dizziness and head pain.
No brain surgery reported history of malignancy.
READING LOCATION: Cox South, 3801 S. National Avenue, Springfield, MO 65807
COMPARISON: Comparison is made to previous brain MRI dated April 11, 2014, and
August 25, 2011.
TECHNIQUE: Multiplanar, multisequence MRI of the brain was performed without the
administration of intravenous contrast.
FINDINGS:
There are no areas of restricted diffusion. Focus of susceptibility hypointensity in the
right paramedian pons, stable. Previous brain MRI from August 25, 2011, shows faint
corresponding enhancement.
Scattered periventricular and subcortical white matter T2 hyperintensities are
nonspecific, but likely represent combination of chronic microvascular ischemic disease
and demyelination, in keeping with known diagnosis of multiple sclerosis. These are
similar in distribution since prior MRI from 2014.
Stable appearance of the midline posterior cerebellum with with suggestion of mild
encephalomalacia and marginal FLAIR hyperintensity/gliosis.
There is no acute infarction, acute hemorrhage, or or parenchymal masslike lesion on
this noncontrast examination. No extra-axial blood or fluid collection is present.
Ventricular size and configuration is appropriate for patient age. No hydrocephalus. No
midline shift. Normal rounded morphology of the cerebellar tonsils. The
cervicomedullary junction is preserved. No cerebellopontine angle masses. Gross
normal flow voids are visualized within the major proximal large vessels of the anterior
and posterior intracranial circulation.
No suspicion of a focally destructive osseous lesion. Leftward nasal septal deviation.
Mastoid air cells are predominantly aerated. Orbits are within normal limits as are the
soft tissues of the nasopharynx.
IMPRESSION:
1. No acute intracranial abnormality.
2. Supratentorial leukoariosis, likely combination of chronic microvascular ischemic
disease and demyelination, given provided history of multiple sclerosis. These are
similar in distribution since comparison MRI from 2014.
3. Small focus of magnetic susceptibility hypointensity in the right paramedian pons,
stable. This may represent a capillary telangiectasia or cavernous malformation.
Electronically signed by: Dr Bryan Jeun 10/12/2018 10:33 AM
MRI BRAIN WITHOUT CONTRAST
CLINICAL STATEMENT: Multiple sclerosis diagnosed in 2001. Dizziness and head pain.
No brain surgery reported history of malignancy.
READING LOCATION: Cox South, 3801 S. National Avenue, Springfield, MO 65807
COMPARISON: Comparison is made to previous brain MRI dated April 11, 2014, and
August 25, 2011.
TECHNIQUE: Multiplanar, multisequence MRI of the brain was performed without the
administration of intravenous contrast.
FINDINGS:
There are no areas of restricted diffusion. Focus of susceptibility hypointensity in the
right paramedian pons, stable. Previous brain MRI from August 25, 2011, shows faint
corresponding enhancement.
Scattered periventricular and subcortical white matter T2 hyperintensities are
nonspecific, but likely represent combination of chronic microvascular ischemic disease
and demyelination, in keeping with known diagnosis of multiple sclerosis. These are
similar in distribution since prior MRI from 2014.
Stable appearance of the midline posterior cerebellum with with suggestion of mild
encephalomalacia and marginal FLAIR hyperintensity/gliosis.
There is no acute infarction, acute hemorrhage, or or parenchymal masslike lesion on
this noncontrast examination. No extra-axial blood or fluid collection is present.
Ventricular size and configuration is appropriate for patient age. No hydrocephalus. No
midline shift. Normal rounded morphology of the cerebellar tonsils. The
cervicomedullary junction is preserved. No cerebellopontine angle masses. Gross
normal flow voids are visualized within the major proximal large vessels of the anterior
and posterior intracranial circulation.
No suspicion of a focally destructive osseous lesion. Leftward nasal septal deviation.
Mastoid air cells are predominantly aerated. Orbits are within normal limits as are the
soft tissues of the nasopharynx.
IMPRESSION:
1. No acute intracranial abnormality.
2. Supratentorial leukoariosis, likely combination of chronic microvascular ischemic
disease and demyelination, given provided history of multiple sclerosis. These are
similar in distribution since comparison MRI from 2014.
3. Small focus of magnetic susceptibility hypointensity in the right paramedian pons,
stable. This may represent a capillary telangiectasia or cavernous malformation.
Electronically signed by: Dr Bryan Jeun 10/12/2018 10:33 AM
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