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Can you help me understand my MRI results?

Findings:  Punctate hyperintensity on diffusion-weighted images in inferior midline cerebellar vermis with apparent restricted diffusion on ADC map.  
Punctate enhancing focus in the right IAC immediately adjacent to the right vestibular nerve likely representing vestibular schwannoma
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Avatar universal
Possibly a tiny benign (non cancerous) lesion/tumor on right side vestibular nerve. Maybe you had imaging done due to headaches or dizziness. Do you have fibromyalgia? I know that’s probably a random question
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Headaches - all my life
Dizziness - yes, and poor balance
Ringing in ears - I thought was side effect of Taxotere 3 years ago.
I am a breast cancer survivor.  I don’t know very much about fibromyalgia.
987762 tn?1331027953
COMMUNITY LEADER
Hi and welcome to the MS community,

"Punctate hyperintensity on diffusion-weighted images in inferior midline cerebellar vermis with apparent restricted diffusion on ADC map. "

My understanding would be lesions smaller than 3 mm are often described as "small" or when even smaller they are described a "puncuate",  hyperintensity as seen on MRI means a single lesion. The cerebellum consists of two hemispheres which are connected by the vermis, a narrow midline area so it's located between the two hemispheres. ADC is a measure of the magnitude of diffusion of water molecules within tissue and calculated using MRI with diffusion weighted imaging (DWI)
  
"Punctate enhancing focus in the right IAC immediately adjacent to the right vestibular nerve likely representing vestibular schwannoma"

My understanding would be a single tiny spot of enhancement usually < 5 mm next to the vestibular nerve, Vestibular Schwannoma (80–90%) is the most common lesion in the IAC

Unfortunately that's the best i can do interpreting your MRI, reading MRI's takes years of specialist training and i only know a tiddly bit out of interest so as an interpretation goes it's far from meaningful in the grand scheme of things.

I hope it helps......JJ
1 Comments
Thank you.  The test was ordered by my Medical Oncolgist.  I think I need  to ask him for a Neurology referral.
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