47 years, Female, with a history of MS, evaluate for progression. A few punctate and curvilinear T2/FLAIR hyperintense lesions are demonstrated in the bilateral periventricular and subcortical white matter. There has been no significant interval change in size or morphology of these lesions, and no new lesion is detected.No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses are slightly thickened. The remainder of the maxillofacial sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
No significant interval change in size or number of a few scattered T2 hyperintense lesions compatible with the history of demyelinating disease.