thoughts?

[Katefrs]

i have attached pics of the lesions on MRI. Do you think that by looking at these, you could say 100% sure there is no MS??

Would appreciate some thoughts

Kate

[sllowe]

Hi Kate,

Your doing right  - a second look is so very important. It is so hard for us to understand why since we are not neuros. I find the article link below to be super helpful in helping to wrap your head around just how many things doctors must consider.

Check out the linked article in this post.

http://www.medhelp.org/posts/Multiple-Sclerosis/Differential-diagnosis-of-suspected-MS/show/1415930

Hope this helps,
~Shell

[Katefrs]

Thanks all ....just desperately trying to understand how he could say definitely not ms when symptoms present and lesions present.
Going for trans oesophageal ECG 4 th April so hope that following that, I can speak to consultant asking for second opinion

Kate xx

[COBOB]

Kate,  

It is impossible to read a study from a jpg and only one slice.  You have to read a study and have a DICOM viewer and the full DICOM dataset that allows you to window and level the study.  I can see why you sent that particular image, but location of the UBO in the posterior left is not a typical location for lesion.

Sorry, but the reason the computer generated coronal, sagittal  and axial views is to help generate a 3 dimensional model of the brain and the lesions.  

Bob

[jensequitur]

Definitely the reading of the MRI needs to be left to a skilled radiologist.  However, to my unskilled eye, it looks like one of the lesions is close to a u-fiber of the white matter, which is actually in a typical location for MS.  It's also oval in shape, which follows the vascular shape of the veins feeding the brain.

Kate, I would take the films and the radiologist's report, and see if you can get a second opinion.  

[essdipity]

No one here can say that. Reading MRIs needs to be left up to skilled radiologists and neurologists.

ess

[Katefrs]

there are two lesions noted in the MRI report but the neuro would not know what they look like as he didnt even look at pics...just said they in wrong place for ms!