Multiple sclerosis: diplopia, ptosis, progression MS. There are multiple, greater than 10, T2 hyperintense lesion in the supratentorial and infratentorial white matter, including in the juxtacortical, deep, and periventricular white matter region. In particular, bilateral punctate centrum semiovale, left posterior pontomedullary junction, left midbrain lateral to the red nucleus, right pons, and right periaqueductal lesions appear to be new since 2013. Many of the lesions display T1 hypointensity, but no associated enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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 progression of intracranial lesions associated with multiple sclerosis.