History of multiple sclerosis. There are multiple T2 hyperintense lesions in supratentorial and infratentorial white matter lesions. Many of the lesions demonstrate T1 hypointensity, but none of them appear to enhance. There is no evidence of intracranial hemorrhage or mass. 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.
No appreciable change in the supratentorial and infratentorial demyelinating lesions.