ct and mri findings help

[gefellen]

in may i had a ct scan for a terrible migraine. the ct came back with a 3.8x 1.9 cm low-density extraaxial collection along the left frontal convexity with beveling of the calvarium, consistent with a chronic process. this is likely an arachnoid cyst in an unusual location. was sent for mri without and with contrast. the findings came back that there is an oval 4.5 cm extra axial CSF isointense structure lateral to the left frontoparietal lobe. there is associated thinning of the overlying skull consistent with pressure necrosis from chronic arachnoid cyst. there is a small arachnoid cyst also identified anteroir  to the right temporal lobe. there is a punctate focus of increased T2 and FLAIR signal intensity within the subcortical white matter of the left occipital lobe. there is no corresponding restricted diffusion noted, therefore finding is consistent with an incidental focus of gliosis. no additional foci or regions of signal intensity abnormality are noted. No masses, regions of acute mass affect or additional extra-axial fluid collections are noted, and no abnormal intra-axial of extra-axial enhancement is appreciated. A partially empty sella turcica is suggested. there are small retention cyst and/or regions of focal mucosal thickening within the inferior  maxillary sinuses. remaining visualized soft tissues and osseous structures are unremarkable for age.

my dr read this and refered me to neurosurgeon i could not get in any earlier than next month. i just want to know what all this means and did the cyst grow in the month between the ct and the mri or did it just show up better on the mri? i have also had a constant headache for the last 2 months, a lot of depression, anxiety, dyslexia, memory problems, i drop things, bump into things and have anger issues. will i have to have surgery? what is the best thing to do for the headaches? sorry so long and thank you :)

[sara12345]

If your pcp couldn't figure anything out, I wouldn't think that anyone but a neurosurgeon would know.  I would be sure to get a CD of your scan to also take to the neurosurgeon in addition to the report.  That's what I always have to do with mine.  The actual scan can tell them things that cannot be figured out just from the report.  Good luck.

[gefellen]

He didn't tell me anything but arachnoid cyst usually do not cause symptoms,  but since I'm having symptoms he's sending me to the Neuro.  It was like he just didn't know what to do and passing me off to someone else. I have his report and it really doesn't tell me anything either.  I've spent hours online trying to figure it all out and I just cannot do it. My appointment is in 16 days so maybe I'll have better luck with the neuro. than my pcp.
Thank you for responding. :)

[sara12345]

What did your doctor say besides that you needed to see a neurosurgeon?  They must have told you something.  If you're having severe memory problems, why don't you ask for a copy of your doctor's notes/report from your appointment.  Most of us are not doctors to decipher the scan results.  Good luck.