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Avatar universal

worried about mri results...25 year old female

This may be a bit long. I'll try to just keep it simple. Over the last 5 years I've had an area behind my ear that becomes inflamed and painful (lump) which cause pain behind my eye. Well about a month ago it flared up and finally saw a neurologist for it. It caused me a constant headache ranging in intensity. I had a baby 11 months ago. Around labor day I started getting increased vertigo especially while driving. Very hard to describe the sensation. Have also had some electrical zap like feelings randomly. My right ARM this month, I have been waking up to a "dead" ARM. Also top of my right foot numb for like a week. Some other things but nothing as bothersome. These were my chief complaints to the neurologist. He wanted to rule out brain tumor/aneurysm. Ordered mra and mri of my brain. The mri was without contrast because I am breastfeeding. I was supposed to go to followup yesterday but there was treacherous weather so I will go Tuesday. My neurologist called me and said they found no tumor/aneurysm but there were several white lesions/plaques deep in my brain. He said he wanted me to come in to discuss it in person. I have a copy of mri report. It reads "a few very small discrete areas of long T2 are noted involving immediate subcortical white matter in the frontal lobes bilaterally. Areas of long T2 are noted to partially fill the maxillary sinuses. Moderate inflammatory changes involving maxillary sinuses. I do not have a history of migraines, I don't think I've ever had a stroke, and my mra showed good blood flow and no abnormalities. Do you think ms is something that has to be considered? I am 25 year old female. Always fatigued but have 3 children. I am a nurse, so it doesn't help bc it makes me worry more...lol! Any answers are appreciated!
4 Responses
1453990 tn?1329235026
The lump behind the ear sounds unrelated. Bilateral subcortical frontal lesions are not the typical presentation for MS lesions, but there are atypical presentations.  Since the description fails to talk about the shape, size, or orientation of the lesions, it it difficult to say much more,  Hyperintensities in the sinuses are pretty common and are typically mucus retention cysts.  Since you had an MRA done, I would expect that your MRA and MRI would have been read together by a Neuroradiologist, but the portion of the report you quoted seems to lack the neuroanatomical landmaks and terminology typically used by neuroradiologists.  

I guess you will need to go over the images with your neurologist.

Bob
Avatar universal
The doc that did the report is an attending neurologist and specializes in neuroimaging. I don't know what that means, but I don't see radiology anywhere in his credentials. Is that the neuroimaging?
1453990 tn?1329235026
Kind of.  There are Imaging doctors that have a sub-specialty in neuroimaging called Neuroradiolgists.  In Neurology, there are subspecialties in Electrodiagnostics, Neuro-Ophthalmology, and Neuroimaging.  

Bob
Avatar universal
Thx much for your responses!!
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