47-year-old with multiple sclerosis. 3T CCD MRI Javed MS protocol no DTI. A previous punctate focus of T2 hyperintensity in the right temporal lobe subcortical white matter has slightly decreased in size. There is a second punctate focus of T2 hyperintensity in subcortical left parietal white matter (series 401 image 15, series 501 image 46) which in retrospect was present previously but is unchanged. There is a third small linear T2 hyperintense focus within the right temporal lobe subcortical white matter (series 401 image 57, series 501 image 24) which was obscured on the comparison study secondary to phase artifact. The remaining brain parenchyma is unremarkable. There is no mass, mass effect, or midline shift. The ventricles and basal cisterns are normal in size and configuration. The expected intracranial vascular flow voids are present. The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
1.A previous punctate focus of T2 hyperintensity in the right temporal lobe subcortical white matter has slightly decreased in size. 2.There is a second punctate focus of T2 hyperintensity in subcortical left parietal white matter which in retrospect was present previously but is unchanged. 3.There is a third small linear T2 hyperintense focus within the right temporal lobe subcortical white matter which was obscured on the comparison study secondary to phase artifact.