Multiple sclerosis with paresthesias. There is no significant interval change in the extent of cerebral white matter T2 hyperintense lesions. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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. There appear to be small effusions in the bilateral mastoid air cells.
No significant interval change in the demyelinating brain lesions related to multiple sclerosis.