52-year-old female with multiple sclerosis,experiencing paresthesias, evaluate for progression. Again seen are multiple FLAIR hyperintense lesions in the periventricular and subcortical white matter with distribution and morphology consistent with known chronic demyelinating disease. Compared to 3/18/2013, no new lesions are appreciated. A few of these lesions demonstrate T1 hypointensity. Brain parenchymal volume is grossly preserved. No intracranial mass or mass effect. Ventricles are normal in size. Normal vascular flow voids are present. Calvarium and extracranial soft tissues are unremarkable.
Multiple FLAIR hyperintense lesions consistent with known demyelinating disease. No new lesion compared to 3/18/2013 to suggest progression.