Leg weakness, multiple sclerosis, evaluate for progression. There are numerous T2 hyperintense lesions in the periventricular white matter, cerebellum, and brainstem. Several of these lesions demonstrate corresponding low T1 signal. Overall, these lesions appear grossly similar to prior examination. There is mild prominence of the cortical sulci in proportion to the cerebral ventricles consistent with mild diffuse global volume loss. There is no evidence of acute infarction. There is no midline shift or mass effect appreciated. There is redemonstration of a 1.8 cm diameter T2 hyperintense nodule in the left cheek, which may represent a sebaceous or epidermal inclusion cyst.
Numerous supratentorial and infratentorial demyelinating lesions related to multiple sclerosis, which do not appear to have significantly changed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.