Oct 23, 2008
The results from the CT Scan of my head done after I was admitted to the ER on 10/14/08:
"History of left-sided weakness and facial tingling. MRI performed at an outside hospital 1 month ago reportedly demonstrated a pineal cyst. (Note: I said my MRI was in JULY, not one month ago!!! I even corrected the nurse on this when he said, "this was done last month?" Ugh!)
An unenhanced axial CT of the head was obtained and reviewed in bone, soft tissue, and intermediate windows. No comparison studies are available. (Note: I brought my MRI disk and report with me!!! I even offered it to the ER doctor to look at, but he said no to the disk--and read the report.)
Findings: There is a focal region of hypodensity in the central pons on image 13 series 2, which may represent artifact. The ventricles and sulci are age appropriate in size and appearance. no evidence of mass, mass effect, or midline shift. No evidence of acute transcortical infarct or intracranial hemorrhage. No intra-or extra-axial fluid collections. The basal cisterns are open. The calvarium is intact and there is no evidence of acute fracture. Visualized sinuses, mastoid air cells, and middle ear cavities are clear. Orbits are unremarkable.
Impression: Focal region of hypodensity in the central pons, which may represent artifact. A lesion in this region would not explain the patient's symptoms. Recommend correlation with the previous MRI study. If the previous study is not available and there is persistent clinical concern, an MRI of the brain could be performed for further evaluation. (Note: Couldn't an ischemic stroke cause my symptoms?!?!)
Attending review (aka the "better" radiologist looked at this, too): Agree with above."
...I guess the pineal cyst didn't show up in the CT Scan results? I'm not sure if it even should, but I do know that this scan was not done with contrast. Thank goodness my next MRI is in a week and a half! I don't know what this "hypodense" region means, and I don't like it one bit...not after googling the possibilities and coming up with nothing good.