Clinical question: Multiple sclerosis. Follow-up/compare to MRI from 2014. Signs and symptoms: Multiple sclerosis. Compared to prior exam. Nonenhanced brain MRI:Negative diffusion-weighted images.Examination demonstrates no evidence of any new lesions although demyelinating disease since prior exam. Stable mild supratentorial findings of demyelinating disease in the periventricular and subcortical white matter of cerebral hemispheres and minimally within the posterior fossa.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination otherwise for patient of stated age.Signal void of major intracranial arterial branches are identified.Unremarkable calvarium and soft tissues of the scalp.Unremarkable images through the orbits, visualized paranasal sinuses and mastoid air cells.
1.Negative diffusion weighted series.2.No convincing evidence of any new lesions since prior study.3.Mild supratentorial and very minimal infratentorial findings of chronic demyelinating disease identical to prior study.