Multiple sclerosis. There is no significant change in the extent of T2 hyperintense supratentorial and infratentorial white matter lesions, many of which are also T1 hypointense. However, there appear to be new punctate foci of enhancement in the left posterior cingulate gyrus and right inferior parietal lobule. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Although the extent of the demyelinating lesions has not appreciably changed, there appear to be new punctate foci of enhancement in the left posterior cingulate gyrus and right inferior parietal lobule. 