Reason: MS. f/u progression History: paresthesias Numerous supratentorial T2 hyperintense lesions throughout the periventricular white matter, including pericallosal lesions and scattered subcortical lesions, with a single new lesion in the left anterior temporal lobe (series 601, image 38). The remaining lesions are unchanged. T1 hypointense lesions again seen Associated mild to moderate diffuse volume loss is unchanged. Major cerebral flow voids are intact. The skull, paranasal sinuses and scalp soft tissues are unremarkable.
Extensive demyelinating lesions with a single new lesion in the left anterior temporal lobe compared to 8/22/2014.