38-year-old female from Dubai by presenting for multiple sclerosis. Compared to images dated 4/2/2015, the foci of T2/FLAIR hyperintensity appears similar in size and morphology. For example, the most prominent lesion is visualized in the right internal capsule and appears similar to April, 2015 and decreased in size compared to 2013 MRI. These findings are nonspecific but compatible with the given clinical history of multiple sclerosis.There is no evidence of intracranial mass. The brain parenchyma and pituitary gland appear unremarkable. 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.No abnormal parenchymal or meningeal enhancement.
There are approximately 10-15 periventricular and subcortical white matter punctate lesions which are nonspecific but under the clinical circumstances most likely related to demyelination. There is a larger lesion present along the posterior limb of the right internal capsule which on a prior MR from 2013 was in the subacute phase. Compared to the prior exam from 4/2/2015 there is not appear to be any significant change in the number of lesions within the white matter.