MS/MRI

[shelbss17]

Can anyone explain what this means?.....Mild burden of bilateral subcortical periventricular
white matter and calososeptal high T2 and flair lesions with one new lesion in the superior frontal gyrus. I have been dealing with possible MS... I now have 5 lesions. But still no treatment. This last MRI was done 2 weeks ago. I don't see my Neurologist for two more weeks.
Thanks,
Shelbs

[Poppy7402]

I just looked at what I posted and realized I replied to a really old post - duh!!

[Poppy7402]

I think maybe they are meaning the callososeptal interface

http://radiopaedia.org/articles/callososeptal-interface

The superior frontal gyrus could possibly be 'gyrus frontalis superior' but here's a picture that specifically refers to it as the sfg.

http://en.wikipedia.org/wiki/Postcentral_gyrus#mediaviewer/File:Slide2HAN.JPG

I suspect it's part of the motor cortex or 'Broadman's area' but could be wrong of course :-)

http://en.wikipedia.org/wiki/Postcentral_gyrus

KC

[Mark44134]

Hello there and good luck to you Shel,

I was diagnosed with MS last august at 40 years of age and seeing a MS doctor at The Cleveland Clinic as well.  He has been there 27 + years working with MS patients and I highly recommend him.  Also just received my MRI results since taking Tecfidera beginning last December.  There has been no lesion changes in my right brain since starting the meds.  Tecfidera is a very strong med but seems extremely effective.  The prednisone treatment prior to Tecfidera was missable for me but things worked out.  Always remember, you have MS, it doesn't have you.  If you ever want any info, let me know.

Mark

[SarahL2491]

Going to a radiology dictionary for patients, I find no results for either the words calososeptal or superior frontal gyrus and would suggest you contact the radiology department where this MRI was done ad ask them.  Perhaps they have made a spelling error or ask your doctor to define them.  

calososeptal is a very wierd word.

sorry we cannot help

[shelbss17]

Has anyone else read my MRI results? Just curious!

[shelbss17]

What does calososeptal high T2 mean? I've tried "googling" it.... I really can't find much.
Thanks everyone <3
Shelb.

[SarahL2491]

Sounds to me like they have found enough, at least it would be for my neuro

Keep us posted!

[shelbss17]

Thank you Dennis. You know, it's really difficult.....do I want MS? no! But do I want a diagnosis? YES! ...... I sure hope we get the ball rolling when I go back to the Cleveland Clinic. I'm very thankful for my Neurologist... she has been head of the MS board for over 13 years at Cleveland.
How do you know if you have the aggressive type of MS? It's scares the S*** out of me. I was totally off guard yesterday when my legs went out from under me. That was scary.

[Sailorsong]

I think I would be surprised if you don't get a definitive DX of MS when you see your Neuro since it mentioned not only the one enhancing lesion, but the possibility of several others that were not in the previous MRI.

Dennis

[shelbss17]

Here's a copy and paste of my last MRI:DATE OF EXAM: Mar 20 2013 8:52AM

HHM 0474 - MRI BRAIN WWO CONTRAST / ACCESSION # 91285843

PROCEDURE REASON: 794.09 -ABN CNS FUNCT STUDY NEC
* * * Physician Interpretation * * *

MRI BRAIN WWO CONTRAST 3/20/13

Accession 91285843

History: 39 year old female with one month of right-sided paralysis
October 2012 with findings of demyelination compatible with multiple
sclerosis on outside institution MRI at that time. Patient complains of
persistent numbness and fatigue.

Comparison: Outside institution MRI of brain 10/22/12.

Parameters: MS protocol precontrast and postcontrast brain MRI including
diffusion images.

MR Contrast: Gadavist
Contrast Dose (ml): Six
Route of Administration: Intravenous


RESULT:

Acute Change: There is no evidence of restricted diffusion to suggest
an acute infarct.

Hemorrhage: No evidence of prior parenchymal hemorrhage on the
gradient echo images.

Mass Effect / Mass Lesion: No evidence of an intracranial mass or
extra-axial fluid collection. No significant mass effect.

Chronic Change: Mild burden of bilateral subcortical periventricular
white matter and calososeptal high T2 and flair lesions with no evidence
of abnormal enhancement. Accounting for differences in technique there is
interval development of one new lesion at the left superior frontal
gyrus. Other small lesions are demonstrated that are not definitely seen
on the prior study but this may be due to difference in technique. The
burden is mild with little change.

Parenchyma: No significant volume loss for age. The brain parenchyma
is otherwise within normal limits of signal intensity and morphology.

Ventricles: Normal caliber and morphology.

Skull Base: Hypothalamic and pituitary region are grossly normal.
Craniocervical junction is normal. No significant marrow replacement
process.

Vasculature: Major intracranial arterial structures, and dural venous
sinuses show typical flow void, suggesting patency by spin echo criteria.

Other: Mucous retention cyst versus polyp right maxillary sinus. Trace
fluid right mastoid. Otherwise paranasal sinuses and rest of the mastoid
air cells appear clear. The orbits and extracranial soft tissues are
unremarkable.
IMPRESSION:

Mild burden of supratentorial white matter disease consistent with stated
history of multiple sclerosis with one new lesion. There is no evidence
of restricted diffusion or enhancement to suggest active demyelination.

[shelbss17]

I believe my Neurologist will start treatment when I see her on the 17th. I sure hope so!!!
I saw her in November....at that time she did not start treatment because I was early in the stage of possible MS. I then saw her again mid March & she was very concerned with the problems of my thought process...I have no reflex on my left side...I can not do the heel to toe walk & I can not balance on one foot. I then had the MRI the following week. I hope this all makes sense LOL. MS world is a confusing mystery!
Shelbs

[SarahL2491]

confused, because it says you know you have hx of MS.  Says "stated history of MS"

so do you already have a diagnosis?  

now that this is 2nd MRI showing new lesion, they probablywill start you on medication, but yes, have a timeline of symptoms since your last neuro visit and if your memory is shabby, take someone with you as others suggested

[shelbss17]

It's been 5 months...,

[sllowe]

Hi there,

They must of written MS on the script for the MRIs, and so mention consistent with history of MS (but like Kyle says, rads cannot dx MS). But, one cannot be dx'd w/MS on imaging alone. It's a clinical dx.

I'm glad you are going in two weeks so the doctor can explain to you what this imaging means for you clinically. What was the time span from the initial MRIs, and the imaging two weeks ago?

Definitely have your questions ready for the appt. Bring someone with you so you have another set of ears for listening to what the doc says about this.

Welcome to the forum :)
-shell

[shelbss17]

Okay this is what it says.  Mild burden of Supratentorial white matter disease consistent with stated history of Multiple Sclerosis with one new lesion. I also have a cyst or polyp in my right maxillary sinus. Any thoughts? They are much appreciated :) Thank you!
Shelby

[shelbss17]

Thanks everyone! No this is my 4th MRI. The report is actually from my Neurologist at the Cleveland Clinic. I see her in two weeks. Just yesterday my legs gave out on me. I've been having alit if issues. My new lesion is in my superior frontal gyrus. Which explains why I've been having some speech issues, mild memory loss & my thought process has be compromised. I have numbness & heaviness in my left arm everyday. In the beginning I was suffering from chronic fatigue and didn't know why. Then in early October I woke up to paralysis on my right side. My leg came back quickly but my right arm was well kinda paralyzed for a month.
Ion gonna jump on "My Chart" and look again at the final impression & I'll get back to you. I'm just so overwhelmed & frustrated. Hugs!!!!!

[kwarendorf]

Hi shelbss - Welcome to our little fun fest!

As Tammy mentioned this kind of language usually is found in a radiology report. At the end of those reports there is usually a Comments or Impressions section. In this section you'll find what the radiologist thinks it may or may not be. Words like demyelination suggest the possibility of MS.

It's important to remember that radiologists are not diagnosticians. They cannot say that you have this or don;t have that. They are simply relaying what they see in your pictures.

Speaking of your pictures, from the the phrase "one new lesion" I take it that this is not your first trip into the MRI tube?

Kyle

[maxthecat43]

Hi, and welcome to the forum.  There is usually a line or two about the radiologist's impressions.  What did he/she say about them?