Patient with history of multiple sclerosis, presenting with paresthesias, evaluate for progression. Again noted is mild degree of periventricular and subcortical punctate hyperintense FLAIR lesions, which appear stable as compared to prior exam. 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, and scalp soft tissues are grossly unremarkable. The cerebellar tonsils are slightly low-lying, similar to prior exam. There has been interval resolution of left maxillary sinus mucosal thickening.
Stable periventricular and subcortical white matter T2/FLAIR lesions, consistent with patient's known history of demyelinating disease.