42-year-old male with history of multiple sclerosis who presents with bilateral leg weakness. There are numerous, greater than 10, patchy T2 hyperintense white matter lesions scattered throughout the subcortical and deep cerebral periventricular white matter in addition to the basal ganglia, midbrain, peripheral pons, and cerebellar peduncles and hemispheres. There is no evidence of enhancing lesions or any areas of restricted diffusion. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or mass effect. The major intracranial vascular flow voids appear to be intact. There is mild left maxillary sinus mucosal thickening. The mastoid air cells are unremarkable. The orbits are unremarkable.
Findings compatible with multiple sclerosis in the supratentorial and infratentorial regions without evidence of enhancing lesions or restricted diffusion to suggest active demyelination.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.