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My 12/30/2011 MRI Report

Jan 10, 2012 - 0 comments

History: 41-year-old woman with eye and facial pain, right foot

cramping and weakness. Double vision, tremors. Decreased left lower

extremity sensations

Comparison: MRI brain 6/30/2011.

Technique: Multiplanar multisequence MRI of the brain were obtained

before and after the uneventful administration of 13 cc IV Magnevist.

DTI sequences were submitted, axial D WI, axial T1, axial T2 and

FLAIR, T2 spin-echo, sagittal T2 FLAIR and postcontrast T1-weighted


Findings: Diffusion-weighted sequence demonstrate no evidence for

acute infarct.

Multiple T2 hyperintense abnormalities are demonstrated within the

supratentorial white matter with relative sparing of the periependymal

margin and corpus callosal white matter. 9 mm focus of T2

hyperintensity demonstrated in the deep white matter of the

MID/POSTERIOR left temporal lobe. There is a tiny focus of T2

hyperintensity within the undersurface of the left corpus callosal

body (sagittal image 19 series 13). There is a tiny focus of T2

hyperintensity within the right superior frontal gyrus (axial image 22

series 10). Focus of T2 hyperintensity demonstrated in the subcortical

white matter of the left middle frontal gyrus (axial image 17 series

10). Largest T2 hyperintense lesion in the LEFT TEMPORAL LOBE is

stable compared to outside prior MRI 6/30/2011. Small foci of T2

hyperintense described above are not demonstrated on prior

examination, likely due to significant differences in acquisition

technique and magnetic field strength.

Brain stem, and cerebellum are unremarkable.  Size and configuration

of the ventricles are normal.

T1 spin-echo images shows no areas of abnormalities.  Postcontrast

sequences shows no evidence for abnormal enhancement.

Orbits, optic nerve sheath complex, optic chiasm and pituitary fossa

are unremarkable. Mucous retention cyst in the right maxillary sinus.

IMPRESSION:  Accounting for differences in acquisition technique and magnetic field

strength. No convincing evidence for significant interval change when

compared to 6/30/2011. Scattered T2 hyperintense lesions in the

cerebral white matter which are nonspecific for multiple sclerosis. No

abnormal enhancement to suggest active demyelination.

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