Hi everyone... thanks for having this community... my next step is a MRI with contrast... totally taken by surprise although all of the symptoms are dead on... lots of pain ..I've had 3 lower back surgeries, 1 neck with a metal plate and 6 screws from a whiplash... can someone please help...thank you
Normal gray-white differentiation is present. There is no CT evidence of acute cortical ischemia. Subtle patchy low attention is seen in the left frontal sub corral white matter. Nonspecific by CT. Manifestation of migrainusus and other demyleinating processes remain amount the differential. Contrast-enhanced brain MRI should be considered to further characterize. No intra-axial mass, global mass effect or midline shift is seen.ventricular morphology appears unremarkable. Benign Virchow-Robin spaces are incidentally noted. Suggestion of cerebellar tonsillar ectopia. In the clinical context of headaches, attention to this are on MRImis suggested. The extra-axial spaces are otherwise grossly unremarkable. Mastoid air cells and middle ear cavities appear clear. The skull base is unremarkable. The visualized para nasal sinuses demonstrate retained secretions and mucosal thickening. Bilateral maxillary sinus non-native Ostia.
1. Subtle patchy low attenuation sub oral white matter left frontal distribution, nonspecific by CT. Follow up contract enhanced strain MRI is suggested.
2. No CT evidence of acute intracranial loos products, acute ischemia or global intracranial mass eddect.
3. Suggestion of cerebellar tonsillar ectopia. Attention to this area on brain MRI is suggested in the clinical context of headaches.