 Examination is limited by motion artifact. There is marked progression of T2/FLAIR signal abnormality involving the periventricular and subcortical white matter with thinning of the corpus callosum. A small T2 hyperintense lesion is also visualized in the right cerebellum (series 601, image 23). There is a 1.3 cm T2 hyperintense lesion involving the left palatine tonsil. There is thinning of the corpus callosum. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.
1.Since 9/2011 there is marked progression of multiple sclerosis plaques involving the supratentorial and infratentorial white matter.2.A 1.3 cm T2 hyperintense lesion involving the left lateral nasopharynx is suspicious for neoplasm. Further evaluation with CT of the neck and or clinical inspection is recommended.3.Findings were reported to Dr. PENYAK CIPRIANI, VERONICA on 8/26/2016 at 4:22 PM