Saturday, May 25, 2013

Wednesday, June 27, 2012 Dee1958 asks

Q: 90 % DIAGNOSED WITH MS. WHAT DOES THIS REPORT SAY? HELP

2005 I WAS IN DENIAL, RETURNED IN 2012

 

2012: Can you give me your opinion please I would so appreciate it.

 

Multiple area of abnormal increased T2 and flair signal present in the strip white matter. There is periventricular predominance and demyelinating disease is suspected. Chronic microischemia changes not totally excluded. There is mild atrophy of the corpus callosum. No lesions are identified in the posterior fossa. 
Diffusion weighted sequences appear normal. The ventricles are normal size. No mass or midline shift. The cp angles are clear, the craniocervical junction appears unremarkable. 


2005:Flair and T2-weighted images show several small foci of hyperintensity in the cebral white matter. These are most prominent in the peri-atrial areas. This is not a specific appearance in a patient this age, ddelineating or chronic ischemic change might be considered. 

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Answers (1)
Lisa Emrich, Health Guide
6/28/12 8:24pm

Hi Dee1958,

 

In reading your MRI reports, it sounds like you have lesions (abnormal increased T2 and flair signals or small foci of hyperintensity in white matter) which are similar to the type which are seen in MS.  Both reports do mention the possibility of demyelinating disease, but do not exclude the possibility of other causes.  The 2012 report does mention mild brain atrophy (which can be caused by MS) whereas the 2005 does not.  The remainder of the 2012 report just details characteristics of the brain which are normal or show nothing of significance.

 

Was your MRI does with an injected contrast agent?  It doesn't seem so by the reports.  My original MRI was not done that way and when I was referred to a neuro, the neurologist ordered a new MRI which was done with and without contrast.

 

Have you experienced new neurological symptoms which you did not have in 2005?  What does your neurologist say?  Have you undergone a lumbar puncture or test your cerebrospinal fluid?  Or evoked potential testing?  These may help your neurologist make a definite diagnosis.

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By Dee1958— Last Modified: 06/28/12, First Published: 06/27/12