32-year-old female with fatigue and memory loss with a T10 sensory level on the left. Evaluate for interval change. Note differences in technique limit comparison with the current study performed with high-resolution. Redemonstrated are multiple supratentorial periventricular and subcortical white matter lesions with morphology and distribution compatible with patient's known history of multiple sclerosis. Many of these lesions have become more conspicuous compared to the previous exam which is favored to be related to technique differences. No new, relatively large lesion to definitively suggest progression. There is mild burden of T1 hypointense lesions. No significant parenchymal volume loss.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.
Multiple T2/FLAIR hyperintense lesions with morphology and distribution consistent with known demyelinating disease. Allowing for slight differences in technique, there is no clear evidence of progression compared to 1/31/2016.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.