43-year-old woman with history of multiple sclerosis and paresthesias, evaluate for progression. Very few scattered punctate T-2/FLAIR hyperintense white matter lesions are seen in the subcortical white matter (401/29, 49, 59). These appear stable from the prior examination in 2012. No new suspicious foci of FLAIR signal abnormality are identified.There is no intracranial mass, hemorrhage, or edema. Flow-voids of the major intracranial vasculature are patent.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
Stable examination with a few, scattered punctate white matter lesions. No evidence of progressive demyelination.