 Again seen are multiple T2 hyperintense lesions in the periventricular and subcortical supratentorial white matter as well as multiple lesions in the posterior fossa consistent with known demyelinating disease. Two previously seen lesions in the body and right posterior aspect of the corpus callosum are decreased in size compared to prior. Lesion in the left inferior cerebellar peduncle and T2 hyperintensity adjacent to the temporal horn of the right lateral ventricle are both less conspicuous. No new lesions are identified allowing for differences in technique. Several lesions with T1 hypointensity also noted. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect.
Allowing for differences in technique, no new lesions are seen compared to 7/12/2014 to suggest progression of demyelinating disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.