Multiple sclerosis with diplopia and fatigue. There are numerous supratentorial and infratentorial T2 hyperintense lesions. There has been interval appearance and increase in size of a few lesions, particularly in the centrum semiovale of the frontal lobes. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, orbits, and scalp soft tissues are unremarkable. There are postoperative findings related to endoscopic sinus surgery.
Numerous supratentorial and infratentorial T2 hyperintense lesions are compatible with multiple sclerosis with interval appearance and increase in size of a few demyelinating lesions since February 2013.