Left sided facial pain: sinuses to lower jaw, left cheek, and left ear. There are numerous focal infratentorial and supratentorial focal T2 hyperintense lesions, particularly Involving the corpus callosum, periventricular and subcortical white matter and left inferior pons. The lesions do not appear to enhance. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. There is no convincing evidence of vascular loop phenomenon affecting the trigeminal nerves. There is no evidence of acute infarct or hemorrhage. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable.
Extensive supratentorial and infratentorial white matter lesions, including in the region of the left trigeminal nucleus are compatible with multiple sclerosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.