22 years, Female, multiple sclerosis, worsening symptoms. Visual problems. Again seen are multiple T2/FLAIR hyperintense lesions in the periventricular and subcortical white matter with morphology and distribution consistent with known demyelinating disease. Compared to 7/22/2016 there are multiple new lesions evident with interval development of greater than 10, T2/FLAIR hyperintense lesions which demonstrate peripheral enhancement consistent with active demyelination. These lesions are seen in the bilateral frontal and parietal lobes, predominantly in the periventricular region, left temporal lobe, as well as a relatively large one in the right occipital lobe. There is relatively mild posterior fossa involvement as before although there is a right inferior cerebellar lesion which is new since prior.Previous present relatively larger left frontal lesion demonstrates mild decrease in size and decrease in peripheral enhancement consistent with evolution.No intracranial mass effect, midline shift, or herniation. Ventricles are normal in size. Brain parenchymal volume is preserved. There is abnormal signal involving the cervical cord at the C2 level which was grossly present on prior although not well evaluated on the current brain MRI.
Continued progression of demyelinating disease with greater than 10 new lesions with enhancement consistent with active demyelination.