Follow-up for multiple sclerosis. There are multiple T2 hyperintense lesions cerebral white matter and perhaps in the right superior cerebellar peduncle. There has been interval increase in size of a lesion in the right superior frontal gyrus and in the left temporal horn periventricular white matter. The other lesions have not significantly changed. Many of the lesions demonstrate T1 hypointensity. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Interval increase in size of demyelinating lesions in the right superior frontal gyrus and in the left temporal horn periventricular white matter. The other lesions have not significantly changed. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.