Female, 57 years old, with multiple sclerosis presenting with imbalance, cramping and poor coordination. Numerous white matter T2 hyperintense lesions are again seen with nearly confluent periventricular disease and scattered lesions in the juxtacortical white matter. Accounting for differences in technique, no significant interval change in the size or extent of lesions is noted. No enhancing lesions are seen. On T1-weighted images, these lesions are either undetectable or correlate with only mild T1 hypointensity.Brain parenchymal morphology is otherwise unremarkable. No evidence of edema or mass effect is seen. No abnormal extra axial fluid collections are identified. The ventricular system is stable in size and morphology.
Extensive white matter lesions are seen compatible with multiple sclerosis showing no convincing change when compared to the prior exam. No enhancing lesions are evident.