PROCEDURE DETAILS Sagittal, axial and coronal images are obtained throughout the cerebrum prior to the administration of contrast. Axial and coronal images are obtained after the administration of 15 mL. Dotarem. FINDINGS On FLAIR imaging, there are areas of increased signal within the deep subcortical white matter of the frontal, parietal and temporal lobes, the periventricular white matter, the corpus callosum, and the juxta cortical white matter. On T1 weighted imaging, there are bilateral deep subcortical hypointense lesions. In addition, therethere is an area of encephalomalacia with increased signal on FLAIR extending from the anterior edge of the left lateral ventricle to the frontal cortical surface laterally with intercalated ovoid hypointense structures consistent with vessels. After the administration of contrast, there are no abnormal areas of enhancement. The overall lesion burden is moderate. There is moderate generalized atrophy for age. In comparison with MRI scan from 2/5/25, there is no discernible change. IMPRESSION 1. Wide spread cerebral demyelination consistent with the patient's history of multiple sclerosis. There are no active lesions identified on the above study. These findings are stable over the past year. 2. Left frontal AVM - stable. Can someone explain this to me in English.