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Bilateral relatively symmetric scattered subcortical white matter T2-FLAIR hyperintensities which are T1 hypointense, predominantly in the frontal and parietal lobes with sparing of U-fibers and subependymal white matter (stable since last MRI roughly 2 years prior).
Two punctate T2 hyperintensities which suppress on FLAIR in the anterior pons, likely perivascular spaces.
Gyration and myelination, as well as brain morphology, are otherwise normal.