Thanks everyone for your thoughts & concerns.
This why we have the best forum on the Web..
Johnniebear
The way I read it, there are left and right frontal lobe hyperintensities on the T2 sequences that have corresponding T1 hypointensities. That means gliosis or axon loss.
It is possible to have a T1 hyperintensity that matches a T2 hyperintensity, but that is usually after contrast and that would identify an "active" lesion (GAD enhancement.)
Bob
I see the MS DR late next Monday in Chicago .
We are so pleased with ... What a waste of time the other regular neurology Dr's were.
Johnniebear
Don't forget MS lesions can be atypical. Your report states posterior of left corona radiata, and periventriclar white matter. My opinion is yes, but I'm no expert.
Here's doc Q's HP:
http://www.medhelp.org/health_pages/Multiple-Sclerosis/How-MRIs-Show-Lesions-in-MS/show/23?cid=36
-shell
Quick question , are the lesions in the classic area for MS? Other than the spine lesions..
Thx
John
Your welcome, anytime.
Those herniations are the worst. Have them too.
What day next week you go?
-shell
I had old 1.5T MRI of the spine.. So they were able to compare to.. When I popped the CD in the Mac I could see how much clearer the imagers are on the 3T-- even tho I didn't know to look for-
Injecting - 15 years ago I self injected Inimttex
(miss spelled I'm guessing) so thought of injecting daily isn't a concern ..
The rest of report about my spine talks about the bulge & herminated disks at C4, C5 C6 C7.
All near the spine lesions..
Thx for your time
John
Report states you have:
4 mm hyper lesion in the periventriclar white matter
6 mm lesion in the corresponding location
(I'm confused where they mention the 6mm corresponding lesion demonsrates T1 because they say "these" leading one to believe they are both T1.
T2's are usually referred as hyper, and T1s are hypo (sometimes called black holes like Bob says) and the 4mm they are saying is hyper, not hypo so their reference to "these" throws me off a bit.
Are they T1s or T2s? Maybe Bob would like to add his thoughts further on that. The wording is off.
Regardless, they are not new as indicated on the summary.
The new is the "punctuate" they refer to.
No change in your 3 mm lesion or your 2 mm lesion
Overall, Johnnie, I think you interp'd your report well! You have old and unchanged, and 1 new. The only thing I'm not sure of ref. the spine is if they are new. Where is the comparison to the old? From what you mention you only knew of 1.
I'm glad you are reading up on your DMDs. Lets hope they stop this in it's tracks. You leaning any particular way? How are you with needles?
Hope this helps!
-Shell
Personally, I think the lesion location is more important than the number of lesions. Spinal lesions cause specific problems. For example, I have a lesion at T10 that makes both knees numb and buzzy, and makes the right leg weak. I also have an unspecified number of lesions up above, in the 'upper thoracic' region. That's what causes my esophageal spasm.
But most importantly, the MRI is not there to find all the lesions, or all the damage. There's lots of invisible damage that the MRI won't catch. Don't let the neurologist tell you that because it's not on the MRI, you don't have that symptom. It's only a diagnostic tool to help the neurologist figure out that you have MS. Granted, it'll catch the very large problems - the corpus callosum damage, the lesion in my cerebellum, the frontal lobe lesion, the spinal lesions - but there's lots of problems I have that can't be tracked to a specific lesion. It's rather like trying to figure out if a house is on fire by finding the burned timbers.
Sounds like 5 measurable and 1 pinpoint in the brain that were called out. Two of them seem to have corresponding "black holes" (gliosis) on the T1sequences.
Sorry. Just a quick look.
Bob