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2nd MRI Report? Please Help
Hello Everyone Hope You Are All Keeping Well,
This Is What My Second MRI Report States.
MRI HEAD...
The Following Imaging Sequences Were Obtained..
Sagittal T1. Axial FSE T2. Coronal FLAIR.
There Were A Few Scattered Subcortical White Matter Foci Of High Signal (T2 & IR) In Both Cerebral Hemispheres. No Other Abnormality Is Identified.
MRI Cervical & Thoracic Spine..
Sagittal T1, Sagittal T2, Axial GRET2.
Posterior Disc Protrusion Central T1/2 With A Disc Fragment Lying In Anterior Spinal Canal,Impingeing On Cord And Left Posterolateral Osteophytes Deviating Exitting Nerve Roots.
Large 'Flowing' Bridging Osteophytes/Hyperostosis Anterior Cervical Vertebrae C4-C7.
A Smaller Posterior Disc Protrusion Is Present At T8/9 And Osteophytes Left Posterior. Indents Thecal Sac.
What Worries Me Is The Sentance: A Disc Fragment Lying In Anterior Spinal Canal,Impingeing On Cord. Or Is This Another Way Of Saying It Is A Lesion?
This Report Does Not Have An Opinion From The Radiologist On It.
Personally I Think It Is Vague.
Any Opinions Of Members Very Welcome.
Regards, Joe.
This Is What My Second MRI Report States.
MRI HEAD...
The Following Imaging Sequences Were Obtained..
Sagittal T1. Axial FSE T2. Coronal FLAIR.
There Were A Few Scattered Subcortical White Matter Foci Of High Signal (T2 & IR) In Both Cerebral Hemispheres. No Other Abnormality Is Identified.
MRI Cervical & Thoracic Spine..
Sagittal T1, Sagittal T2, Axial GRET2.
Posterior Disc Protrusion Central T1/2 With A Disc Fragment Lying In Anterior Spinal Canal,Impingeing On Cord And Left Posterolateral Osteophytes Deviating Exitting Nerve Roots.
Large 'Flowing' Bridging Osteophytes/Hyperostosis Anterior Cervical Vertebrae C4-C7.
A Smaller Posterior Disc Protrusion Is Present At T8/9 And Osteophytes Left Posterior. Indents Thecal Sac.
What Worries Me Is The Sentance: A Disc Fragment Lying In Anterior Spinal Canal,Impingeing On Cord. Or Is This Another Way Of Saying It Is A Lesion?
This Report Does Not Have An Opinion From The Radiologist On It.
Personally I Think It Is Vague.
Any Opinions Of Members Very Welcome.
Regards, Joe.
Hi Mack
I just tought of one other thing. I assume you are seeing a general
neuro, for the ms work up? and all that. He may not be the
one to order the lumbar MRI.
I assume he ordered the brain cervical and thoratic because that
would fall under the ms work up..(The spinal cord itself ends just after
the thoratic area.
So if the neuro you have now, does not order the lumbar MRI, then
either you GP or the neurosurgeon can.
Let us know how this turns out.
And call and make an appt. lol
I just tought of one other thing. I assume you are seeing a general
neuro, for the ms work up? and all that. He may not be the
one to order the lumbar MRI.
I assume he ordered the brain cervical and thoratic because that
would fall under the ms work up..(The spinal cord itself ends just after
the thoratic area.
So if the neuro you have now, does not order the lumbar MRI, then
either you GP or the neurosurgeon can.
Let us know how this turns out.
And call and make an appt. lol
SL, I Have Taken Your Advice Onboard Thankyou, And Will Indeed Speak To Whoever Does The LP Beforehand.
Take Care Of Yourself And Keep Well.
Regards Joe.
Take Care Of Yourself And Keep Well.
Regards Joe.
I certainly understand about the slow. Just thought it would be in your best interest to speak to the Dr prior to the LP. The reason is because of what was stated in the report, and the disc protrusions.
When they perform the LP, it is in the lower back, down by the lumbar, what I'm not sure of is the difference between the Thoracic and the Lumbar area, (i.e., where one stops and the other starts).
Regardless, I'm glad they have lined you up for one, however, if you speak to the Dr beforehand, please ask if the LP will be under flouroscopy. That way, at least it will be guided through easier.
Wishing you all the best,
SL
When they perform the LP, it is in the lower back, down by the lumbar, what I'm not sure of is the difference between the Thoracic and the Lumbar area, (i.e., where one stops and the other starts).
Regardless, I'm glad they have lined you up for one, however, if you speak to the Dr beforehand, please ask if the LP will be under flouroscopy. That way, at least it will be guided through easier.
Wishing you all the best,
SL
Hey Girls Thanks Very Much For Your Posts.
SL And Heather, Just To Recap I Saw My Neuro In Late Oct 07, He Said I Was To Have A 2nd MRI Done So He Could Compare With The 1st One I Got Done In July 07 Also He Wanted LP Done To See If There Was Any Inflammation In The Spinal Fluid. I Got My 2nd MRI Done 20/12/07 And I Get My LP On 1st April.
I Have Not Heard From The Neuro Since Last I Saw Him In Oct 07.
I'm Telling You Girls Things Are Really Slow Here In The UK.
Gollie Thank You For Your Very Informative Posting.
When I Do Finally See The Neuro I Will Ask For A Lumbar MRI Because The Lower Back Pain I Get Is Very Painful.
Again Thankyou Girls For Your Postings And Take Good Care Of Yourselves And Keep Well.
Regards Joe.
SL And Heather, Just To Recap I Saw My Neuro In Late Oct 07, He Said I Was To Have A 2nd MRI Done So He Could Compare With The 1st One I Got Done In July 07 Also He Wanted LP Done To See If There Was Any Inflammation In The Spinal Fluid. I Got My 2nd MRI Done 20/12/07 And I Get My LP On 1st April.
I Have Not Heard From The Neuro Since Last I Saw Him In Oct 07.
I'm Telling You Girls Things Are Really Slow Here In The UK.
Gollie Thank You For Your Very Informative Posting.
When I Do Finally See The Neuro I Will Ask For A Lumbar MRI Because The Lower Back Pain I Get Is Very Painful.
Again Thankyou Girls For Your Postings And Take Good Care Of Yourselves And Keep Well.
Regards Joe.
One other thing to add or stress that would be important
Be sure and try to request that lumbar Mri. If they start throwing
surgery terms around you would be better off haveing the lumbar
check.
I find its best to know the whole picture the back works as a whole
so know all you options and problems then work on fixing them one
at a time step by step.
And ya know with the foci on the white matter, If it were me I would
still do the lp.
I have small foci and bigger leasions= MS But I still have several
back problems and 2 surgeries under my belt.
just my opinion so discuss this all with your doctor and see how
you feel after that. Gollie
Be sure and try to request that lumbar Mri. If they start throwing
surgery terms around you would be better off haveing the lumbar
check.
I find its best to know the whole picture the back works as a whole
so know all you options and problems then work on fixing them one
at a time step by step.
And ya know with the foci on the white matter, If it were me I would
still do the lp.
I have small foci and bigger leasions= MS But I still have several
back problems and 2 surgeries under my belt.
just my opinion so discuss this all with your doctor and see how
you feel after that. Gollie
Hi there
You must have some very big ouches!!!
I can shed abit of light as I have had 2 back surgeries.
First off we all know what the foci are right, or what foci means. in the white matter?
That part of the report I do not know why some sort of conclusion was written on
that. But Obviously we know there are small leasions, of some sort. which you
need to find out about with your docs. Im sorry I have not read your past history
so I dont know if your foci was somthing there from before.
Next for the cervical, throatic area, in this case would not require
a conclusion, only because it already stated the hard core facts, that even a general
gp should be able to read and send you right to the neuro surgeon.
Proutrusion, normaly means the same thing as herniation especailly in the case
of your T1-T2 (our disk are filled with a jelly like substance) so when
they herniate sometimes or rupture some of that substance can squeeze
out and press on nerves and the cord ect. ( I believe thats what they are reffering to on the disk fragment). This is the point where they will normally do surgery.
Thoratic surgery is much less commonly done than cervial or lumbar.
(supposedly people have much less problems there.) But I have seen
more and more people latley with this thoratic stuff.
Your T8-T9 sounds like another one but just to a lesser degree. (not that it is any
important) because it is.
That right there alone is enough to do a ton of stuff to your body, let alone
the brain foci.
Indentation means that it is pressing onto the cord or nerves.
I still have some buldging disk in my neck, and one of them
puts a slight indentation, (or a slight pressure) on the cord.
but it is not much at all and therfore not operable at this time.
just have to deal with it for the time being.
I would storngly suggest in your back matters to get a
lumbar MRI as well.
Also someone should have contacted you about the above.
do not let your gp pull any punches here make him or her
aware of what you have read and leaned, and just take
an I want to know or pro active attitude. Have your
lumbar checked as well in case of anymore disk problems.
write all your questions down. you need refferals to specialist.
I hope this helps sort the half of it for you Gollie
If you dont hear from you doc office by the end of
today. Call and make an appointment to see him
as soon a possible, and bring your witten results with you.
you could wait forever for the office help to call you just to
tell you the doc want you to come in for a consult. just do it youself lol
I cannot speak on the the other lingo use in the report as far as the
other stuff as I am not familiar with the terms
You must have some very big ouches!!!
I can shed abit of light as I have had 2 back surgeries.
First off we all know what the foci are right, or what foci means. in the white matter?
That part of the report I do not know why some sort of conclusion was written on
that. But Obviously we know there are small leasions, of some sort. which you
need to find out about with your docs. Im sorry I have not read your past history
so I dont know if your foci was somthing there from before.
Next for the cervical, throatic area, in this case would not require
a conclusion, only because it already stated the hard core facts, that even a general
gp should be able to read and send you right to the neuro surgeon.
Proutrusion, normaly means the same thing as herniation especailly in the case
of your T1-T2 (our disk are filled with a jelly like substance) so when
they herniate sometimes or rupture some of that substance can squeeze
out and press on nerves and the cord ect. ( I believe thats what they are reffering to on the disk fragment). This is the point where they will normally do surgery.
Thoratic surgery is much less commonly done than cervial or lumbar.
(supposedly people have much less problems there.) But I have seen
more and more people latley with this thoratic stuff.
Your T8-T9 sounds like another one but just to a lesser degree. (not that it is any
important) because it is.
That right there alone is enough to do a ton of stuff to your body, let alone
the brain foci.
Indentation means that it is pressing onto the cord or nerves.
I still have some buldging disk in my neck, and one of them
puts a slight indentation, (or a slight pressure) on the cord.
but it is not much at all and therfore not operable at this time.
just have to deal with it for the time being.
I would storngly suggest in your back matters to get a
lumbar MRI as well.
Also someone should have contacted you about the above.
do not let your gp pull any punches here make him or her
aware of what you have read and leaned, and just take
an I want to know or pro active attitude. Have your
lumbar checked as well in case of anymore disk problems.
write all your questions down. you need refferals to specialist.
I hope this helps sort the half of it for you Gollie
If you dont hear from you doc office by the end of
today. Call and make an appointment to see him
as soon a possible, and bring your witten results with you.
you could wait forever for the office help to call you just to
tell you the doc want you to come in for a consult. just do it youself lol
I cannot speak on the the other lingo use in the report as far as the
other stuff as I am not familiar with the terms
Correction to my comment:
It's not impingement in 2 different areas - it's 1 area impingement,
and 1 area 'indents thecal sac'
I still feel the same way. If it were me, I'd ask questions before I got that LP.
SL
It's not impingement in 2 different areas - it's 1 area impingement,
and 1 area 'indents thecal sac'
I still feel the same way. If it were me, I'd ask questions before I got that LP.
SL
I am in total agreement with SL on this Joe. This needs further discussion with you and the doctor about what this all means.
Heather
Heather
Hey Joe,
Back me up on this one Heather
- Joe, has the ordering Dr. reached out to you
regarding the MRI findings? I really don't understand how, and why an LP would
be performed when so much (seems to me) has been discovered with your MRI.
SOMEONE, specifically the one who ordered the test, should have, by now, consulted with you further on this.
I don't want to be an alarmist, I'm not a Dr., BUT, there are some things in that report that send up flags, specifically, 'impingement' on the cord in 2 different areas.
Joe, tell us more if you can.
SL
Back me up on this one Heather
- Joe, has the ordering Dr. reached out to you
regarding the MRI findings? I really don't understand how, and why an LP would
be performed when so much (seems to me) has been discovered with your MRI.
SOMEONE, specifically the one who ordered the test, should have, by now, consulted with you further on this.
I don't want to be an alarmist, I'm not a Dr., BUT, there are some things in that report that send up flags, specifically, 'impingement' on the cord in 2 different areas.
Joe, tell us more if you can.
SL
Hello SL And Heather,
Thankyou For Your Posts, SL I Got My MRI Done On The 20th Dec, 07. I Asked For A Copy Of The Radiologists Report 2 Weeks Ago And I Recieved It Yesterday.
I Am Due For A LP On 1st Of April.
Thankyou For Your Posts, SL I Got My MRI Done On The 20th Dec, 07. I Asked For A Copy Of The Radiologists Report 2 Weeks Ago And I Recieved It Yesterday.
I Am Due For A LP On 1st Of April.
Forgive my typos...my first sentence should read that I have never seen a Rad not give a final impression. Gosh I wish MedHelp had spell check at least...
Heather
Heather
I have to agree with SL. One thing I would like to say is that I have seen an MRI report that no "final impression" of the radiologist. Never!
I wish that I was able to help tell you what this MRI means. I have 6 bulging disks in my back with narrowing of the spinal space around one of those disks in my upper back. Right at the place where I have an MS lesion of all places and things. This is NO way suggests to you that your disk has ANYTHING to do with a lesion. I just happen to have two things going on in the same spot. Oh lucky me.
You may indeed have your family doctor or Neuro put you in touch with a Neurosurgeon, so someone that is actually super qualified like him, would be able to give you a better opinion about the disk fragment they see. I would not go to any kind of doctor BUT a Neurosurgeon. In this instance, an Orthopedist is NOT someone to go to about this.
Please, please, please, let us know what you find out about what this MRI really means. I am super interested to know. I couldn't be more serious. Since I have disk problems in six areas of my spine, this kind of thing going on with you, may give me some valuable information for later use in myself.
This nees to be looked and soon and shame on the Radiologist for not giving his final impression on this MRI. SHAME! Your doctor should throw him to the wolves for that kind of incompleteness....
Best Wishes dear Joe. I really DO care just as everyone else here does...Keep us informed.
Big HUGS.... but not big enought to hurt your back...LOL
Heather
I wish that I was able to help tell you what this MRI means. I have 6 bulging disks in my back with narrowing of the spinal space around one of those disks in my upper back. Right at the place where I have an MS lesion of all places and things. This is NO way suggests to you that your disk has ANYTHING to do with a lesion. I just happen to have two things going on in the same spot. Oh lucky me.
You may indeed have your family doctor or Neuro put you in touch with a Neurosurgeon, so someone that is actually super qualified like him, would be able to give you a better opinion about the disk fragment they see. I would not go to any kind of doctor BUT a Neurosurgeon. In this instance, an Orthopedist is NOT someone to go to about this.
Please, please, please, let us know what you find out about what this MRI really means. I am super interested to know. I couldn't be more serious. Since I have disk problems in six areas of my spine, this kind of thing going on with you, may give me some valuable information for later use in myself.
This nees to be looked and soon and shame on the Radiologist for not giving his final impression on this MRI. SHAME! Your doctor should throw him to the wolves for that kind of incompleteness....
Best Wishes dear Joe. I really DO care just as everyone else here does...Keep us informed.
Big HUGS.... but not big enought to hurt your back...LOL
Heather
Hey Joe - welcome back,
Who is getting this report 1st? The Neuro?
I cannot interpret, but wanted to say that 'disc fragment' in not interchangeable with lesion. You've got things here that will need to be addressed, probably by a Neurosurgeon. I hope some others will chime in soon.
When did you get the MRI's? Did you pick up this report from the facility?
Sorry so many questions, just want to have enough here for folks to provide some more insight.
How are you feeling?
SL
Who is getting this report 1st? The Neuro?
I cannot interpret, but wanted to say that 'disc fragment' in not interchangeable with lesion. You've got things here that will need to be addressed, probably by a Neurosurgeon. I hope some others will chime in soon.
When did you get the MRI's? Did you pick up this report from the facility?
Sorry so many questions, just want to have enough here for folks to provide some more insight.
How are you feeling?
SL
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