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Confusing MRI results

Long story short as I can-- I am a 36 yo female with recent sudden onset of muscle pain and weakness (both sides of body).  Many tests later the only thing of clinical significance was my MRI result.  It showed "several tiny foci of T2 hyperintensity in the bilateral cerebral white matter.  Differential considerations could include tiny foci of gliosis related to chronic vascular headaches, minimal chronic small vessel ischemic change or possibly small foci of demylination."  I am so confused, as I don't believe I am a vascular headache sufferer.... They are trying to rule out or diagnose MS.  Spinal fluid was normal.  From what I understand, in MS-- aren't the lesions found typically in a different part of the brain?  Anyone with any insight is greatly appreciated.
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562511 tn?1285904160
Hi. You might want to look at the Multiple Sclerosis page at:

Specifically, this Health Page describes the lesions found in MS:

Also, what a typical MS work up entails:

Good luck and keep us posted.
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1711789 tn?1361308007
Hi there!

MS could present with lesions anywhere in the nervous system. The lesions could represent a few conditions which would need to be evaluated for in detail. Other than neurological causes systemic issues such as micronutrient deficiencies, heavy metal poisoning, hormonal/ endocrine abnormalities, electrolyte imbalance etc would need to be ruled out as well. I would suggest discussing the situation and the management plan in detail with your treating neurologist.
Hope this is helpful.

Take care!
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