Multiple Sclerosis Community
9.23k Members
1456824 tn?1288651214

Just got my 3rd MRI back - New lesion found

I think I may be getting closer to some sort of diagnosis.
The new MRI done on Wednesday stated

No acute infarct or intracranial hemorrhage. Multiple deep white matter lesions as well as a single lesion in the right pontomedullary junction region. These lesions are stable in appearance from prior examination there is no abnormal enhancement no significant mass effect or midline shift. The ventricles and extraaxial spaces are normal

No significan change in mulitple bilateral deep white matter lesions None of these enhance.
These can be seen with demyelinating disease. (first time this has ever been stated)

Note he didnt mention in his conclusion about the new lesion found in the pontomedullary junction from what I understand is the brain stem.

Any thoughts ...

Quix I wish you were here to take a look and see what you think.

Thanks everyone, I couldnt ask for any better support then all my friends here at MedHelp.

Dawn hugs to everyone!!!!
5 Responses
1456824 tn?1288651214
Hi Quix,
I was hoping you could take a quick look at my post.
Thanks so much
147426 tn?1317265632
Hi, Kiddo.   From the wording of the report it sounds like the lesion in the ponto-medullary junction was there on the prior report.  Was it not mentioned in the prior report?

Far fewer things cause lesions there.  this should help push you toward a diagnosis.

If the neuro is still hemming and vacillating, you can ask what disorders cause multiple lesions, not only in the brainm but also in the brainstem?

1456824 tn?1288651214
Hi Quix,
Thanks so much for getting back to me....I love it when you are on the blog.

The brainstem lesion is new.
I did a comparision of all three and there is no mention of a brainstem lesion in the prior two reports.
147426 tn?1317265632
You can request a new reading of the MRI with specific mention to whether the lesion in question is or is not new.  Just contact the radiology department.  You need to have this clarified on the record.

1456824 tn?1288651214
Thanks Quix, I will take care of it Monday. LP is next Friday.
Will keep you posted
Have an Answer?
Top Neurology Answerers
987762 tn?1331027953
5265383 tn?1483808356
1756321 tn?1547095325
Queensland, Australia
1780921 tn?1499301793
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease