Reason: vertigo in Jan 2-13, MRI lesions, +OGCB History: ibid. Multiple T2 hyperintense foci in the pericallosal region (5/15) and adjacent to the left occipital horn (9/17) are similar to the prior study. There are two new T2 hyperintensities in the left cerebellar peduncle (8/24) and left temporal lobe (5/7). No diffusion restriction is evident.There is no evidence of intracranial hemorrhage or mass. 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 and scalp soft tissues are grossly unremarkable. The paranasal sinuses are unremarkable.
Multiple scattered T2 hyperintensities including pericallosal T2 lesions. There are 2 new lesions in the left cerebellar peduncle and left temporal lobe. Overall these findings are suspicious for a demyelinating process, such as MS.