Need Help Making Sense of Test Results (CSF)

[KT121]

I had a lumbar puncture done because of an MRI that was suspicious of MS.

Here are my results:

CSF BANDS 0 bands bands
CSF OLIG BANDS INTERPRETATION 0 bands <4 bands
The oligoclonal band assay detected 3 or less IgG bands in
the CSF, which are not present in the serum. This is a
Negative result.
SERUM BANDS 0 bands bands
IGG INDEX CSF 0.58   <=0.85
IGG CSF 2.9 mg/dL <=8.1 mg/dL
ALBUMIN CSF 19.2 mg/dL <=27.0 mg/dL
IGG/ALBUMIN CSF 0.15   <=0.21
SYNTHESIS RATE CSF 1.60 mg/24 h <=12 mg/24 h
IGG 1220 mg/dL 767 - 1590 mg/dL
ALBUMIN 4780 mg/dL 3200 - 4800 mg/dL
IGG/ALBUMIN 0.26   <=0.40

GLUCOSE CSF 54 mg/dL 40 - 70 mg/dL

PROTEIN CSF 34 mg/dL 15 - 45 mg/dL

CSF CLARITY CLEAR  
CSF COLOR COLORLESS  
CSF RED BLOOD CELLS 3 RBCs/uL RBCs/uL
CSF NUCLEATED CELLS <1 Nucleated cells/uL 0 - 5 Nucleated cells/uL
LYMPHOCYTES % 84 % 28 - 96 %
MONONUCLEAR % 16 % 16 - 56 %
TOTAL CELLS COUNTED 100  


For the scholarly, I have included the narrative, in order to give more back round. The tester did say that my fluid came out very fast. I also felt so great afterward, and my symptoms returned in days.

Narrative

FL LUMBAR PUNCTURE, 2/14/2017 10:00 AM

INDICATION:
R20.0: Sensory loss
R93.8: Abnormal MRI

ADDITIONAL CLINICAL INFORMATION:
Ordering Provider Reason for Exam: left sided transient sensory loss
Technologist Note:
Additional: None

COMPARISON:
Brain MRI 1/17/2017

TECHNIQUE AND FINDINGS:
Prior to the procedure, the procedure was discussed in detail with the patient
could not risk, benefits, and alternatives. Risks included, but were not
limited to, bleeding, infection, lack of access to the thecal sac, pain,
reaction to medications, post lumbar puncture CSF leak, possibly necessitating
blood patch. The patient expressed verbal understanding and gave verbal and
written consent to proceed. A timeout was performed. Universal protocol was
followed.

The patient was placed prone on the fluoroscopy table. The L5-S1 interspace
appeared the most amenable approach to thecal access. The overlying skin was
marked, prepped, and draped in sterile fashion. 1% lidocaine was utilized for
local anesthesia. A 22-gauge spinal needle was advanced under intermittent
fluoroscopic guidance into the thecal sac. Clear CSF returned. Subsequent, 13
mL of clear CSF were collected and were sent to the lab, as requested. The
needle was removed. Hemostasis was achieved. The patient tolerated the
procedure well without immediate complication.

FLUORO DOSE:

FLUORO TIME: .2 minutes NUMBER OF IMAGES: No additional exposures

[KT121]

Any answers please?