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Hypointensities on MRI

I am familiar with hyperintensities/lesions, but does anyone know the significance of hypointensities? My latest MRI report reads that I have hyperintensities as well as "associated areas of hypointensity without cavitation."
I am waiting on my neuro appointment, but was wondering if anyone else had this on their MRI report or was familiar with it.
Thanks in advance.
6 Responses
987762 tn?1331027953
Hi and welcome back to the community,

This latest MRI information if specifically mentioning "hypointensities" which from my understanding would be referring to T1 black holes. Whilst I really hate to say this, but if your latest MRI has identified black holes and the 2014 periventricular (white matter) and centrum semiovale (deep white matter) lesions, MS could 'possibly' be at the very top of your more likely list, with your clinical symptoms and age group.

When do you see the neurologist and did you end up finding one who specialises in MS?  


Avatar universal
Thanks for your reply. I did end up finding a neuro who specializes in MS, but unfortunately my appointment isn't until June 26th. I have a cervical MRI scheduled for Saturday, so the neuro will be able to compare last year's brain MRI, this year's brain MRI, and the cervical MRI.
Avatar universal
I had the same thing.  hyperintensities are little round areas where the doc reads as light.  Most of the time, hypointensities are the absense of light. It could be a number of things. Usually benign.  See your Neuro to make sure.
667078 tn?1316000935
I know June 26th seems a long time off. I always have to wait months to see my MS Specialist. They usually have a lot of patients since they are not that common. That does not make it any easier waiting.

Avatar universal
Ugh, yeah, waiting is the worst.
Avatar universal
I got my cervical spine MRI report back. I have a few "questionable ill-defined hyperintensities" on the axial spine view
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