 There are innumerable T2 hyperintense periventricular and subcortical foci, several of which are perpendicular to the ventricles, several which also have T1 hypointensity. A subtle similar appearing lesion is also present within the medial left middle cerebellar peduncle.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There is no mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
Innumerable multiple sclerosis plaques as described in detail above.