Clinical question: Multiple sclerosis follow-up progression. Signs and symptoms: Facial numbness. Nonenhanced multiple sclerosis brain MRI:Examination demonstrates few scattered foci of FLAIR hyperintensity only in the subcortical and periventricular white matter of bilateral cerebral hemispheres which are nonspecific. Compared to prior exam there is suggestion of minimal interval increased number of lesions which are entirety in supratentorial brain parenchyma.Note however should be made that prior exam was performed utilizing routine brain MRI protocol with 5 mm slices and current exam with dedicated multiple sclerosis protocol with 2 mm slices which could account results in detection of more number of lesions.The cortical sulci and ventricular system as well as the CSF spaces are within normal for patient of stated age
1.Mild periventricular and subcortical foci of FLAIR hyperintensity only in the supratentorial brain parenchyma which are nonspecific and demonstrate minimal interval increased numbers since prior study from 2010 as detailed. Please see above comments.2.Unremarkable nonenhanced brain MRI otherwise.