History of ADEM with right lower extremity hyperreflexia. Follow up acute demyelinating encephalomyelitis. Redemonstrated are scattered periatrial T2 hyperintense white matter lesions bilaterally, which are not significantly changed from the prior examination. Scattered punctate hyperintense white matter lesions is also redemonstrated within the corona radiata and centrum semiovale. There is no evidence of acute intracranial hemorrhage, mass effect, or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There is interval progression in diffuse paranasal sinus mucosal thickening.
1. Nonspecific scattered bilateral white matter lesions, which are without significant interval change.2. Interval progression of diffuse paranasal sinus disease.