67-year-old woman with history of multiple sclerosis, evaluate for progression. Again seen are multiple T2/FLAIR hyperintense lesions in the periventricular and subcortical white matter with morphology and distribution consistent with known demyelinating disease. There is no new lesion compared to the prior examination. There is a mild to moderate burden of T1 hypointense lesions in the periventricular and subcortical white matter. There is mild parenchymal volume loss.The ventricles and basal cisterns are otherwise normal in size and configuration. There is no mass, midline shift, or herniation. The major cerebral flow voids are intact. The orbits, paranasal sinuses, and calvarium are unremarkable.
No evidence of progression of demyelinating disease compared to 11/5/2015.