History of numbness in the hands and feet, headaches, intermittent blurry vision, essential tremor. There approximately 8 approximately T2/flair hyperintense lesions involving the supratentorial white matter, predominately involving the subcortical white matter of the left greater than right frontal lobes. There is one lesion involving the left frontal corona radiata. These have a nonspecific appearance and distribution which is not particularly suggestive of demyelinating disease.No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.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.
1. No evidence of intracranial hemorrhage, mass, or acute infarct.2. Several foci of of T2/flair hyperintensity scattered within the supratentorial white matter. These have a nonspecific appearance and distribution and not particularly suggestive of demyelinating disease. 