Spasticity and multiple sclerosis. There has been overall slight increase in the burden of diffuse cerebral white matter lesions since 2013. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged 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.
Overall slight progression of the intracranial multiple sclerosis lesions since 2013. 