Multiple sclerosis [G35], Reason for Study: ^Reason: ms [progression History: frequent falls Patchy bihemispheric periventricular white matter and deep white matter FLAIR/T2 high signal intensity lesions appear to be unchanged except slightly smaller lesion at the left subinsular white matter. There is no evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Grossly unchanged FLAIR/T2 high signal intensity lesions consistent with multiple sclerosis since prior scan.No evidence of acute ischemic or hemorrhagic lesion.