MRI OF THE BRAIN

TECHNIQUE :. MRI OF THE BRAIN WAS PERFORMED IN THE SAGITTAL,AXIAL AND CORONAL PROJECTIONS UTILLIZING MULTIPLE PULSE IMAGING SEQUENCES.

FINDINGS : THERE IS MILD DIFFUSE PARANASAL SINUS DIEASE NOTED.THE ORBITS ARE GROSSLY WITHIN NORMAL LIMITS.THE MASTIODS ARE WELL AERATED.

THE  VENTIICLES AND CORTICAL SULCI ARE NORMAL IN SIZE.THERE APPEAR TO BE A COUPLE OF SCATTERED HIGH SIGNAL LESIONS SEEN WITHIN THE PERIVENTRICAL WHITE MATTER TRACTS WITHOUT ASSOCIATED RESTRICTED DIFFUSION.  NO MASS OR MASS EFFECT IS EVIDENT.

NO EXTRAAXIAL FLUID COLLECTION IS SEEN.THE PITUITARY GLAND APPEARS UPPER NORMAL IN SIZE BUT IS SLIGHTLY HETEROGENEOUS  IN APPEARANCE RAISING QUESTIONOF A VERY TINY CYST

MRI OF THE SELLA WOULD BE USEFUL FOR FURTHER EVALUATION IF CLINICALLY WARRANTED. NORMAL VASCULAR FLOW VOIDS ARE SEEN IN THE CIRCLE OF WILLIS.

IMPRESSION :

NONSPECIFIC  WHITE  MATTER  DIEASE.  NO EVIDENCE FOR ACUTE INFARCT. FINDING SUSPICIOUS FOR SMALL NODULE  WITHIN THE PITUITARY. RECOMMEND DEDICATED MRI OF THE SELLA TURCICA WITH AND WITHOUT CONTRAST FOR MORE  DEFINITIVE EVALUATION IF INDICATED.

[biowham]

Overall, the report indicates normal findings except for a few white matter lesions. Don't know how a "couple" of white matter lesions can be "scattered"; the wording of this report in that regard is very casual. I would query your neuro closely about where these lesions are and how many there are and their size. They are periventricular, and that can be relevant. Also, I assume you had the MRI because you're having symptoms of some kind, and that needs to be considered before someone can simply say "nonspecific." An MRI is not diagnostic one way or the other of MS. Clinical correlation--i.e., consideration of the results in the context of what led you to have an MRI in the first place--is necessary.

How old are you? White matter lesions are not considered "normal" before a certain age.

Also, sounds like you might have a wee cyst on your pituitary gland, which governs much of the endocrine activity in your body. Do you have any endocrine-type symptoms (e.g., related to thyroid, ovulation disruption, unusual breast secretion, etc.)? You wll probably have a follow-up focused on determining whether or not you've really got a cyst in the pituitary, depending on whether or not you've got blood values for endocrine endpoints that might indicate a problem there.

Bio

[essdipity]

Want to add that you should not be concerned about the 'sinus disease' part. A huge number of MRIs report something like this and it's basically meaningless. If you are having sinus problems, a CT scan is much better for identifying what's going on. If not, disregard this part of the report. Your neuro will verify what I'm saying.

I agree that your brain lesions bear investigation, considering your neuro symptoms, and also whether or not you have a pituitary cyst needs to be determined.

When you see your neuro, have him or her go over these points with you.

Good wishes,
ess

[mommies4]

I am 37 years old and have been haveing ongoing problems for awhile now.It was a Headache that took me to the ER. I had been haveing ongoing headaches for a few months the last one had gone on for 26 days.The Hospital keep me for 6 days running a bunh of test.I my self along with a few friends have been thinking it was either MS or LUPUS.Still I am ongoing trying to get a DX.No luck on that .However the eye Dr.Came in and through test,Spinal  Tap, draining30 cc of fluid determined I had IIH - intercranial
Hypertention.I'm on meds for it now.I think they are starting to not work.

I did have a MRI of the Sella/Pituitary : findings mri of the sella pit was performed in the sagittal , axial and coronal projectionsutilizing mutiple pulse imaging sequences.

The Pituitary appears to be within the upper limitsof normal in size.A partially empty sella defority is demonstrated . No discrete pituitary mass is noted. The stalk is midline in locationand the optic chiasm is unremarkable.

Impression: Findings consistent with partial empty sella deformity. No definitive evidence for a pituitary mass.
                                               Thank you so much for your help.. mommies4

[mommies4]

bump