 This exam is mildly degraded by motion artifact. There are multiple scattered small foci of T2 hyperintensity within the periventricular white matter and centrum semiovale as well as linear lesions within the corpus callosum, perpendicular to the long axis of the lateral ventricles. There is also a single juxtacortical lesion towards the convexity. Some of these lesions demonstrate T1 hypointensity. No infratentorial lesions are identified. There is mild global volume loss. There is no evidence of acute infarct. 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. There is paranasal sinus mucosal thickening.
Multiple white matter lesions involving the periventricular and juxtacortical white matter, centrum semiovale, and corpus callosum. No infratentorial lesions are identified. There is also mild global volume loss. While these findings are nonspecific, they do meet the dissemination in space component of the MRI McDonald criteria for MS.