Multiple sclerosis. Progressive loss of vibration sensation. There are numerous supratentorial and infratentorial T2 hyperintense white matter lesions, which are unchanged. Many of the lesions are T1 hypointense, but are no enhancing lesions. There is no evidence of intracranial hemorrhage or acute infarction. The pituitary gland appear unremarkable. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there are cosmetic fillers in the bilateral nasolabial folds.
Multiple white matter lesions compatible with demyelinating disease do not appear to be significantly changed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.