27 year Female Need help understanding MRI

I have severe headaces with visual distrubances, dizziness, confusion, fatigue, memory loss. I have severe mucsle and join pain. MY whole body tingles and I get burning senstation.Some days it is like my muscles and body wants to lock up on me and I fall. I have sharp shooting pains that radate up my neck to my head.  I get a nevere pain that shoots up my leg into my buttocks and up my back. My neck head and collar bone hurt constanly I have high blood pressure, retain water, sleep apena, Hashimotos autoimmune and hypothyrodism. Also I am not sure what it means by moderate to severe right mastiod air cell opcapfication..I have had ear problems as a kid and have had 13 ear surgeries since the age of 4. Also what about the lymp nodes that are seen? Could that cause neck pain Thanks

May 2011
1. Nonspecific hemispheric white matter on each side. Differential includes a demyelinating condition such as multiple sclerosis,vasculitis, and less likely migraines or early manifestation of chronic small vessel disease. Given the presence of confluence signal in the temporal subcortical white matter, CADASIL (cerebral autosomal domnant arteriopathy with subcortical infarcts and leukoencephalopathy) is aslo in the differental.
3. Stable bright T1 signal in the globus pallidus with early changes in the dentate nuclei and accompanying increased susceptiblilty on greadient images, also involving the lateral margins of the caudent nuclei. Differential includes liver disease, parenteral nutrution (TPN), early manifestation of age related mineralization ( normally occurs in patients greater than 30 years of age) or endocrine disorser such as hypothyroidsim and hyperpaarthyoidism
4. Moderate to severe nonspecific right mastiod air cell opacification with mild to moderate changes in the left mastoid air cells. Boderline sized right retropharyngeal lymph nodes measuring 6 mm in short axis dimension.The findings in the right side mastiod air cells has worsen since the prior exam

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Hypothyroidism can present in many different ways, neurologically. In short, patients may have increase fatigue, difficulty concentration, depression, confusion, respiratory difficulties, autonomic dysfunction in blood pressure and temperature regulation, peripheral neuropathy (for example carpal tunnel syndrome), and ataxia. In some patients a course of steroids may improve symptoms.

Opacification of the mastoid air cell may be an indication of a middle ear infection/inflammation.

I would suggest that you follow up with a neurologist to discuss your complex-array of symptoms.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.