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Very sad. Could it be MS? or turn into MS?

hi all im hoping someone would kindly give me their professional view on my mri report. I was hit on the head with a ladder.. had an mri which cleared me of any additional injury but resulted in an incidental finding as follows:

here is an incidental finding. There are T2/FLAIR hyperintensities, the largest at the callososeptal interface on the right anteriorly which is elongated with an oblique orientation to the lateral ventricles. Smaller hyperintense foci are seen in the deep  white matter posteriorly on the right, in the region of the corona radiata on the left and in the anterior and posterior frontal subcortical deep white matter on the left. No brainstem hyperintensities seen.

These hyperintensities are a non-specific finding but they are a little more numerous and larger than average for a patient of this age. No low signal change seen in relation to these on the pre-contrast T1.

None show post-contrast enhancement. The largest lesion at the callososeptal interface on the right shows T2 shine-through artefact on DWI, as does the lesion in the
centrum semiovale on the left, but none show true restricted diffusion on the ADC map. Elsewhere grey/white differentiation is normal. The ventricles and cortical subarachnoid spaces outline normally and symmetrically. The posterior fossa structures outline normally. 7th and 8th nerve complexes are unremarkable. No abnormality of the major intracranial arteries and there is normal enhancement of the major dural venous sinuses, deep and superficial cerebral veins. No orbital abnormailty seen. Prominence of the soft tisssue in the nasopharynx is noted and is not abnormal for a young patient of this age.

im a 34 year old new mum and as you can imagine am terrified by these findings. i just want to be well for my baby. could this be MS? or turn into MS?
4 Responses
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1221035 tn?1301000508
Hi and welcome.....

Other than getting hit in the head with a ladder, were you having any symptoms?

If your MRI findings are only incidental and you are not having any symptoms, I would not worry to much about it right now.

I am sure that your doctor will explain what, if anything else that needs to be done.

I am sorry that you have this to worry about, is your head okay from the accident?
Helpful - 0
1312898 tn?1314568133
Were these results just mailed to you with no explanation!  

Was there a particular reason you thought it might be MS?  Were you having MS symptoms?

You really sound scared right now, do you have an appointment coming up?

Red
Helpful - 0
338416 tn?1420045702
That's right - we're just folks who have had experience with radiologist's reports!

I have to say that report is much better than the typical report.  They've paid attention to the location and size of the hyperintensities, as well as commented on the shape.  No information about how many hyperintensities, which makes me think there are more than a few.  

It's very difficult to figure out the anatomy from the radiologist's terms.  Nobody's consistent on their description, and they vary in how specific they are.

And I don't know my brain anatomy all that well.  I had to google callosum-septal, and what it looks like is a lesion in the corpus callosum, close to the septum.  It's elongated, which makes it sound like it's following vascular spaces.  You'll hear the term 'Dawson's Fingers' which is a description of the shape of the lesion.  If a lesion follows the vascular space and has a circular or ovoid shape, it's indicative of an MS lesion.

"None show post-contrast enhancement."  This indicates that you were administered gadolinium contrast with this MRI.  None of the lesions enhanced, which means that they aren't new lesions.  

"T2 shine-through artefact"  There's a certain amount of 'artifacts' in an MRI scan.  Some of those are because of motion during the scan.  There's also some weird echoes if the magnets aren't properly adjusted.  It sounds like the radiologist is saying that despite the artifacts, he's sure of his findings.

So the first thing is not to be sad, or afraid.  If you are diagnosed with MS, there's no way of predicting your disease course.  Let the doctors take a good look at you and follow their recommendations.

I have a lesion in the corpus callosum.  Feel free to take a look at my profile - I have brain and spine MRIs posted, with the radiologist's reports.
Helpful - 0
1394601 tn?1328032308
If you have been following some of the posts on the board, you will find there won't be any professional views of your MRI.  This board is not monitored by professionals.  However, someone may come along that can give you their personal opinion of what the results mean.  Unfortunately, I am not one of those...

Welcome to the board.  I hope you find some answers and we are able to become a support group to you.  Many of us came here afraid too and are willing to listen.
Helpful - 0
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