MRI need help understranding

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. I have sharp shooting pains that radate up my neck to my head. Muscle give out. 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.. Somedays the pain is just so unbearable I cant get out of bed I just neet some answers....I have high blood pressure, retain water, sleep apena, Hashimotos autoimmune and hypothyrodism. NEED Help understanding these result


May 2011
Impression

1. Nonspecific hemispheric leukoencephalopathy. In addition mildy confluent abnormal T2 signal is present in the temporal subcortical 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

[Dr Sharma]

Hi there. I may not be able to elaborate with precision your MRI findings but what I understand from your clinical symptoms and demyelinating lesions in the brain is the suspicion of Multiple sclerosis. Your doctor will need to investigate you for multiple sclerosis where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Take care.