Multiple sclerosis with paresthesias. There is no significant interval change in the scattered cerebral white matter T2 hyperintense lesions. Many of the lesions demonstrate T1 hypointensity, but no associated enhancement. The ventricles and sulci are unchanged in size and configuration, with focal volume loss assocated with a right postcentral gyrus lesion. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The skull and extracranial soft tissues are unchanged. There are bilateral maxillary sinus retention cysts.
No significant interval change in the intracranial demyelinating lesions.