34 years, Male, with multiple sclerosis, evaluate for progression. Again seen is a tiny nonspecific focus of T2/FLAIR hyperintensity in the right frontal corona radiata, axial FLAIR series 701 image 56. No new lesions are identified. There is unchanged linear enhancement in the left posterior frontal lobe which likely represents an incidental developmental venous anomaly. No suspicious foci of enhancement in the brain. Brain parenchyma is otherwise unremarkable without convincing evidence of demyelinating lesions within the brain. Brain parenchymal volume is preserved. No intracranial mass or mass effect. Ventricles and sulci appear within normal limits. Calvarium and extracranial soft tissues are grossly unremarkable.
No evidence of progressive demyelinating disease in the brain. Tiny punctate focus of FLAIR hyperintensity in the right frontal white matter is unchanged and nonspecific.