MRI what this mean

[sabrinajackson2]

I  am 45 women not over weight and have been getting dizzy and blaming out just like 2 seconds. I get like jerkin in my arms and legs and shaking really bad. I have have had issue in pass with dizzy and week and almost passing out. I have had  leg  cramps like in front and back of leg or in door  off and in I. Pass that wakes me up in middle of night and hurts so bad will bring me to tears will try and walk it out or take hot bath. And next day will be sore. But happen more now . And after blanking out and falling and shaking will be really tired. For about a day. My husband said  when a sleep  I will jerk like arm or legs  in my sleep. Had mri and this is what  it showed. Can anyone understand it or any ideals what is going on with me. I feel like in going crazy.
TECHNIQUE: 13 cc of intravenous Dotarem gadolinium contrast was used for this exam. MR imaging through the brain was performed utilizing precontrast sagittal T1, axial DWI with ADC map, axial T2*gradient echo, axial T2, axial FLAIR, precontrast and postcontrast axial T1, and postcontrast coronal T1 with fat saturation weighted sequences.
COMPARISON: None.
FINDINGS:
Within the subcortical corona radiata white matter of the right temporal lobe just above the right basal ganglia, there is a rounded focus of T2 prolongation measuring approximately 4 mm. White matter lesions are the result of gliosis, edema, or demyelination. Most commonly, these are the result of gliosis due to chronic microvascular ischemic disease. However, white matter lesions have also be seen in the setting of prior trauma/infection, demyelinating processes, and in patients with migraine headaches.
The cerebral and cerebellar hemispheres are otherwise unremarkable. The brainstem and pons are normal in appearance. There are no regions of restricted diffusion to suggest an acute or recent infarction. No intracranial hemorrhage or extra axial fluid collection is identified. The ventricles and sulcal spaces are normal in size, shape, and configuration. There is no evidence of hydrocephalus, intracranial mass, mass effect, or shift of the midline structures. No abnormal areas of enhancement are seen on the postcontrast images.
The corpus callosum is fully formed. The pituitary gland and infundibulum are normal. The visualized cervical spine is unremarkable. No evidence of a Chiari malformation is seen. The globes and orbits are intact. Minimal mucosal thickening of the left ethmoid air cells and left frontal sinus is noted, likely of no clinical significance. The paranasal sinuses are otherwise unremarkable. The mastoid air cells are well-aerated. There is no suspicious marrow signal abnormality. The extracranial soft tissues are unremarkable.
IMPRESSION:
No acute intracranial process is seen. There is no evidence of a recent infarction or intracranial hemorrhage.
Solitary 4 mm subcortical white matter lesion of the right temporal lobe. This is most likely the sequela of small vessel ischemia, but please see detailed discussion above.
Minimal paranasal sinus disease, likely of no clinical significance.
No other significant abnormality is identified.
Report En
CTshowed
TECHNIQUE: CT examination of the head was performed with axial images and multiplanar reconstructions.   All CT scans are performed using dose optimization techniques as appropriate to the performed exam including automated exposure control and/or standardized protocols for target exams where dose is matched to indication/reason for exam/patients size.

COMPARISON: None

FINDINGS:

Mild bifrontal volume loss is present.No intraaxial mass, extraaxial fluid collection, hydrocephalus, midline shift, or mass effect is seen.  There is no evidence of intracranial hemorrhage.  No acute infarct is seen.
IMPRESSION:
IMPRESSION:

No acute intracranial process is noted.

Mild bifrontal volume loss.
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[supermum_ms]

Hi again,

What you've described honestly doesn't sound suggestive-consistent for a neurological condition like MS, your brain MRI from my understanding may not be
able to  answer the question on what exactly is going on with you....only 2 things were picked up the 1 x 4 mm sized lesion in the most common location, which is the subcortical white matter in the temporal lobe. .as you report stated "Most commonly, these are the result of gliosis due to chronic microvascular ischemic disease."  

And whilst it also states other causes "white matter lesions have also be seen in the setting of prior trauma/infection, demyelinating processes, and in patients with migraine headaches." its also normal as an adult to have a few small non specific lesions in common locations of your brain, more common if you have migraines...only finding 1 in your mid 40's would not typically be abnormal.

To me the most significant finding on your MRI is the "Mild bifrontal volume loss" but weather that means you were born with a smaller volume in the frontal lobes or if it is something thats been acquired in adulthood really needs to be determined by your neurologist!

In regards to MS though, basically when there is a high number of black holes or T2 lesions there is the potential of volume loss, your MRI results do not indicate either situation so a lesion related explanation is an unlikely cause of the mild bifrontal volume loss that's been noted on your brain MRI...

Hope that helps.......JJ