36-year-old female with sclerosis experiencing paresthesias, evaluate for progression Due to patient claustrophobia, she was unable to hold still during the exam, even with immobilization. Repeated sequences were attempted. For this reason, the patient requested that the cervical spine MRI (originally ordered to coincide with the brain MRI) be rescheduled at a later date.Redemonstrated are multiple T2/FLAIR hyperintensity in the periventricular and subcortical white matter with morphology and distribution consistent with known demyelinating disease. Small infratentorial T2 hyperintense lesion involving the left middle cerebellar peduncle again seen. No new lesions are definitively appreciated. None demonstrate contrast enhancement. Brain parenchymal volume appears within normal limits. No evidence of intracranial mass or mass effect. No extra-axial collections or hydrocephalus. Paranasal sinuses and mastoid air cells are clear. Major arterial flow voids are preserved.
Redemonstrated are multiple T2/FLAIR hyperintense, nonenhancing, lesions in the supratentorial or infratentorial white matter consistent with known demyelinating disease. There are no new lesions to suggest disease progression.