Multiple sclerosis: paresthesias. There are scattered focal and confluent areas of T2 hyperintensity predominantly involving the periventricular white matter of the bilateral cerebral hemispheres. There also appears to be a T2 hyperintense lesion in the spinal cord at the C1-2 level. The lesions appear to be similar to prior scans. 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. There is a small right maxillary sinus retention cyst.
Findings compatible with demyelinating lesions in the brain and in the upper spinal cord, which appear similar to prior scans, although comparison is limited by differences in the technical parameters of the scans.