First Cervical MRI Results-Questions ??? help

[johnniebear]

Well I had another brain MRI & Cervical Spine MRI on the same day-  I'm a big guy & that's just hard to lay there.

I don't see the Dr until the end of April now.
I got a copy of the report from the Hospital,,  

                                 Here's what the report  says--

At C6-7  there is a question of a small vertically oriented anterior right increased T2 signal at the C5 level, it would be difficult to exclude small demyelinative plaque.

Impression :
There is a question of a small vertically oriented  increase T2 signal anterior right of the cervical cord at C5, it would be difficult to exclude small demyelinative plaque  at this level. however to make a definitive diagnosis of this study given the limitation of the exam.

And Have few lines about mild heriation & disk buldge that C5-C6.
           Now I  really know I'm pain in the neck .LOL

Ok,  what does all of that mean?  Is that a lesion or more  than one? Small in who's book? maybe just more limbo?



Does anyone have Thoughts  of what  this all means  ?    &  Big   thanks to all of you.

I'm  so glad Spring is almost here.  :-))

John....

[johnniebear]

Thanks Quix,

I'm 50 miles south of that town everyone has heard of, Chicago.
All the snow has cleared  & can't wait to get in the yard & do some work.

I'm hoping to plant another very small garden this years-  funny story when I go out to work in the garden ,  my wife has given me extra long shirts or know as XLT'S-  because she said she  doesn't want the neighbors to see that old man's plumber butt..

My wife is my buddy-  so to be funny she takes a picture of the afore mentioned,  so I have the pic turned into a post card & mail it to her. :-)  that was only fair !!

Sorry if you got mental picture of that.  LOL

[Quixotic1]

Well, spinal lesions carry a lot of weight in the suspicion of MS, because so few of the MS Mimics cause them.  It narrows the possibilities HUGELY.

I'll have to go review your history, but I think I was really, really suspicious of you having lesion(s) there.  Validated again, I think.

Maybe I should start a Limbolander Diagnosis Clinic.....suppose first I would need to get a medical license...

The one O-Band will help you very little.  In my case, my neuro told me he would have liked to have seen at least 2, but that not that many people really do have even one, so it raised the evidence level a lot.  I also did have a markedly elevated IgG Index, but you rarely see that mentioned anymore, even though it is listed in the McDonald Criteria as a "positive CSF finding".

We are already well into spring here in the Pacific Northwest.  Our crocuses have already bloomed and croaked, the cherry trees, and ornamental flowering trees are causing huge drifts of blooms in the streets and all the trees are budding so hard I'm sure it is audible.  The whole place is a blaze with blooming glory.  I'll send you some.

Quix

[biowham]

Looks like you've met the criteria w/ the spinal lesion, EP. I think the brain lesion count is officially four? So...depends on how stringent of a lesion counter your MD is.

Bio

[johnniebear]

Thanks that was quick,
1 O band
3 Brain lesion.
Evoked is delayed- abnormal


Thanks again

[biowham]

John, what they're saying is that you've got an area on the cspine that they think is a (one) demyelinating plaque, i.e., an MS plaque or lesion. I don't know what the rest of your clinical background is, but a finding like this in the cord is strongly indicative of a demyelinating disease (i.e., MS). Whether or not you stay in limbo will depend on whether or not your doctor is a strict lesion counter and requires a certain number of brain lesions or spots along with findings in the cord and/or evoked potentials findings and/or + lumbar puncture findings. Honestly, in my mind (and in those of others, too), a plaque in the cord that is described as demyelinating has about three possible etiologies. Your age and continued existence tend to rule out two.

Bio