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MRI result - what does it mean in English?

MRI result - what does it mean in English?

I am a 43 year old, white female who does not smoke or drink alcohol.  I have absolutely NO medical history - no chronic illness, never had surgery.  My fasting blood sugar is 87.  My total cholesterol is 157.  I regularly check my blood pressure and it is rarely over 116/68.  I am the picture of health...except that I have had multiple, intermittent episodes of tingling/burning in my hands, feet and forearms accompanied by fatigue, muscle weakness, muscle spasms, visual disturbances and balance issues.  The tingling/burning increases dramatically in warm situations like a hot shower, hot shoes or if tucked under a blanket.  I saw my PCP and after stating that she suspected MS might be the cause, ordered and MRI of my brain.

I had the testing done this past Wednesday and my PCP called on Friday to tell me that she felt the Radiologist's reading of the MRI was more ambiguous than any other she'd ever received, and in light of my symptoms, that she scheduled me to see a Neurologist on Oct. 20th.  I know that the appt. is "only" 10 days away...but I have so many unanswered questions and the MRI only adds to them that, to me, it seems to be an interminable wait.

Brain MRI reading:

"Some white matter disease.  Small areas of bright T2 signal in the white matter of both hemispheres.  Many are somewhat peripheral.  No typical Dawson's fingers.  Some questionable involvement of the corpus callosum.  Such involvement would favor a process such as MS.  The overall pattern isn't typical of MS, however, and is non-specific.  The areas could represent demyelinization but could also indicate some inflammatory process such as small vessel ischemic disease, Lyme disease, sarcoidosis or even lupus.  There is no generalized brain atrophy.  The cerebellum is normal.  The basal ganglia regions appear within normal limits.

I'm hoping that someone here can shed some light for me on what my MRI results mean.  What kind of conclusions can be drawn from it regarding a possible diagnosis?  What questions should I be asking the Neuro at my Oct. 20th appt?
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1268057_tn?1336996641
Basically your MRI is not presenting typically as MS would, but it CANNOT be excluded.  However, it could also be one of the diseases/disorders mentioned above in your post.  

I would think the next step would be a spinal tap or an LP to be more conclusive and/or possibly more imaging and assessments by the Neuro.  
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