Demyelinating lesions treated with IV steroids. LP showed oligoclonal bands and myelin basic protein. There are essentially unchanged scattered punctate supratentorial T2 hyperintense lesions, predominantly in a subcortical distribution. Punctate foci of apparent high signal in the right parietal lobe on the post-contrast axial spin echo is likely artifactual. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. 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.
1. Essentially unchanged presumed demyelinating lesions in the brain.2. DIffuse cerebral volume loss.