 There is no abnormal lesions or masses in the region of the olfactory bulbs or elsewhere in the brain, within the limits of noncontrast study. Numerous scattered periventricular and subcortical white matter T2 hyperintensities are redemonstrated. There appears to be minimally more punctate areas of T2 signal abnormality, particularly in the posterior right frontal corona radiata, likely more conspicuous secondary to differences in technique. However, there are no new large lesions to suggest progression of demyelinating disease. The ventricles and sulci are unchanged, with stable prominence of the anterior parafalcine extra-axial spaces. The basal cisterns remain patent. There is no midline shift or mass effect. There is no diffusion abnormality. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is minimal mucosal thickening in the bilateral ethmoid air cells and frontal sinuses.
1.No masses involving the olfactory bulbs or anterior cranial fossa are appreciated.2.Multiple T2/FLAIR hyperintense lesions in the white matter are redemonstrated, which may represent small vessel ischemic disease and/or demyelinating lesions. Please note this MRI was not tailored for following up of demyelinating disease.