I would certainly ask, but bear in mind that it could simply be down to the difference between the two radiologists who did the reports (assuming it was different people).
Yes, these are highly trained individuals but still liable to make subjective calls about what is significant enough to include in their report or not. Ditto your neurologist. He could look at both MRIs and not place a lot of weight on the radiologists' reports and make the call him/herself that things are stable. In the end, it's their opinion that carries the weight here.
If you have a copy of your reports I would certainly ask the neurologist. Normally my neurologist looks at my MRI's himself after the radiologist interpretation. I notice in the "findings" he says the 5 foci are stable, so he is seeing them on the older MRI. I would ask my neuro though.
That's why I'm confused though. All of my previous MRI reports have stated in the Impression and Findings sections that I only have two areas of signal abnormality. This most recent report states that there are "5 foci of primarily
subcortical signal abnormality in the right frontal lobe". I am confused as to why this isn't considered a change from my previous MRI's
I agree with Shannon. Radiology Speak is a very scary language
As an xray tech, my best advice is to just read the impression. The radiologist is saying there are no changes from your previous MRI. The radiologist's have to rehash everything from your previous MRI, but the impression is the short form of all of that complicated radiology words..
Shannon