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MRI Result - What does it mean?

I've been having slight ringing in ears and intermittent headache for the last couple months.   The headache or feeling of heaviness would go away without my taking any medication.  I would simply lie down and rest for a couple hours and the headache would go away. I would usually get the headache or heavy feeling when I'm stressed out or nervous or having anxiety.     What does it mean "major intracranial vascular flow voids are present?" What is FLAIR signal?  Result of MRI is below.  Would appreciate help in interpreting it.  Thank you

MRI Findings:
" There is no intra or extraaxial fluid collection.  No midline shift or mass effect.  No focal parenchymal abnormality.  No evidence of intracranial hemorrhage.  Post-Gadolinium, there are no enhancing masses.  No hydrocephalus.  The major intracranial vascular flow voids are present.  There is abnormal signal on diffusion-weighted imaging.  There are scattered punctate foci of increased FLAIR signal in the periventricular white matter which is nonspecific.  None of these lesions show enhancement.  There is no abnormality of the paranasal sinuses or mastoid air cells.

"No acute intracranial abnormality.
No enhancing mass
Diffuse punctate areas of nonehancing increased FLAIR signal.  This is nospecific and may represent small vessel ischemic disease.  The distribution is not typical for multiple sclerosis, however, this cannot be entirely excluded. "
18 Responses
Avatar universal
I can try to help you in a minimal way. Don't read films but
can assist w/ report info. There is no T1 or T2 mentioned nor
specific lobes of brain. In general, it looks like a pretty gd
report radiologist did. Many are quick scan/sloppy. Your post
reads like they were trying to find things Dr didn't request.
Mri's are read by signals/spins/echoes/light/density/flairs/etc.
I can just tell you what yours kinda' means. Re: 'major flow
voids present', means the main flow vessels in your brain are
seen as `great & flowing well w/ clarity'. No back-up/blockage.
If the word present wasn't there, may mean hard to see/visually
difficult poss. do to a disease. FLAIR is a technique to attempt
to clarify an area. T1 is first test pattern for scan. T2 is 2nd
to go back to ck T1 signal of focus. T2 can separate solid from
a water retaining spot like fat/water/edema in tissue. This
technique is FLAIR. My guess is the punctate is just fat-spots
w/ alot of fluid retained in the white matter part of brain. The
lesions didn't enhance. When they switch to FLAIR read, it turns
things now dark & they then TRY to enhance. None enhanced so I
think these are old spots of stress to tissue from perhaps the
hdaches or? I had a routine mri w/ a 1.3cm spot & after Flair,
it was determined scar tissue. I had a bleeding vessel at one
time that did damage & sealed. It was a ischemic stroke or
attack. Probably very old & I never felt it. We decided that it
was probably from a death in family w/ long term migraine from  grief 10 yrs ago may have been cause. I also have scattered
punctate (fatty spots). *Most end report w/ 'cannot be excluded
or ruled out' to cover their buns. Everyone now days that has
hdaches or mri spots think they have MS. MS is usually dx'd
when things are bilateral + clinical. If you get MS 8 yrs from
now, this is a disclaimer & dropped in Neuro's lap. *Aspirin or
many pain meds cause ear-ringing & also hdache swelling. Hope
I was able to help & not confuse. Gd-luck.
Avatar universal
Thanks so much for taking time to reply to my post.  Yeah, I've been taking aspirin/ibuprofen quite often the last two months.  And, started to experience slight buzzing/ringing in my ears about the 1st of October.  I haven't been taking aspirin anymore so I hope it goes away over time.  

THanks again.
Avatar universal
I started having anxiety/nervousness attack early this year when an internist did an ekg on me and told me that I had enlargement of heart.  I was sent to get 2D echocardiogram which came back all normal.   I went to a cardiologist and showed her the ekg result that was done at internist office.  Turned out, my cardiologist said that my ekg was misinterpreted.  Ekg did not indicate enlargement of heart at all.     Every now and then, I would get anxiety and could feel blood rushing to my head.   I was also quite nervous during the MRI, and the noise of the machine made my nervousness even worst.   Could this be the reason why "diffuse punctate of nonenhancing increased FLAIR signal" detected during the mri procedure?

My primary doc referred to a neurologist.  I requested the hospital to have all images in a CD to take to a neurologist when I see him a month from now.
Avatar universal
Most reg MD's have a daily job of non-complicated illness so
when they get a report w/ scattered foci, they don't have time
to do or repeat clinical exam for transmission (hammer knee/
pin-*****/scrape foot) basics, that Neuro should do. Hopefully
Neuro will look at films or faxed report from referral. You
have a rt & left brain & ea. has 4 lobes. The scattered means
just that. It forms no significant pattern nor large enough to
justify measurement. There are several MRI types of units but
they all do the same. Ea. will hum/bang/clank/rapid fire/hammer
& techs no if it's your 1st & watch you while locking head in.
Stress/anxiety shows on face. Usually you 'say' your nervous.
Once in they should talk to you. They are actually scanning at
that time w/ a signal. The 1st noise is a test signal to ck for
nerve response to adjust machine signal. You can talk back/hit
stress button if intolerance happens. They know you have neuron
activity elevating if you are anxious. You can ask for more air
on some, to deep breathe-relax. They can even see a seizure abt
to happen & stop testing. They see more stress than what you
felt. There's difference between annoyed & panic on signals.
The tech is usually doing the operations while the Radiologist
is viewing the monitor for details. They instrust tech to go
back/repeat. They showed non-enhancing FLAIR. No fluid collect.
The punctates are old & mri didn't cause it. More than 1 attempt was made to enhance. Foci is very small, some micro!
You have more than 1 brain layer & they ck'd subcortex. I know
by the read. Periventricular AREA is near ventricles where CSF
is. Its area + clinical, Dr wants to let Neurologist deal
with. Can't remember post but I have a 1.3cm ischemic area on
left brain & was found just incidently. That's a 1/2" of scar
tissue. Way bigger than foci. I'm a non-stress person. I get do
upset, so mine goes back to probably 10 yrs when I cried for a
week over a death. A migraine followed for 1 week & then zip.
Chronic stress can be measured w/ a Cortisol blood test. 1 am
& 1 pm on same day. Unless you have something clinical, I think
Neuro will be ck'g you just to rule out something.Hydrocephalus
(water on top of brain) was even ruled out to ck compression.
If you worry/stress alot, this may be time to alter life some.
Breathe/yoga/walk/read. Our brain cells die daily. A healthy 80
will have lots of white matter on MRI but if not in certain
places, will have excellent memory. Stress needs to be heavy-duty. Maybe you were affected severely over the heart mis-dx's.
I hope things turn out well for you. Have a cookie kooki!
Avatar universal
Thank you again for your explanation.   Yeah, I was affected much  by the misdiagnosis of internist early this year.  I was hyperventilating for a good 10 days til I got the result back.    That was the first time I felt pain in my left shoulder, neck, head and upper chest.  My heart was racing.  I was given stress echo test by cardiologist which she said was normal (no blockage).   Every now and then, I now would feel pain on upper chest and shoulder whenever stress out.  I didn't feel any pain when I was stressed out prior to misdiagnosis.  Even my cardiologist was baffled how that Internist came up with enlarged heart on ekg.  

I'm doing yoga now and my new primary doc just put me on buspirone (anti-anxiety) for a month therapy.  

Avatar universal
I think you nailed the problem & the fix. Sounds terrific.
I do yoga stretching/breathing for some muscle pain & I now
sleep better. Learning to balance on some stupid big ball also
for something called 'core'. It's not as easy as it looks!
Avatar universal
I am 35f...many ms symptoms..mri is clear..told a bit of arthritis in my neck...I know this is not the diagnosis...legs are crazy..my body does not stop moving when I am at rest...I have face twitches, my right pupil is malfunctioning in dim light, have had optic neuritis, spasticity, tremors, sweats, weakness, sleep problems, depression, pain pain pain all over...been put on baclofen and have been pain free for weeks now and have had pain for as long as I could remember...I walk everywhere and do not drive...so I am now able to use my legs...I can touch my fingers to the floor..have not been able to do it for years...optic neuritis occured in 1992...had a hell of a time since and never nailed it and now my mri is blank...ARRRRRRRRRRRGGGGGGGGGGGGGGHHHHHHHHHh...any suppport out there?....thanks for listening
Avatar universal
With all you've dealt with, I can tell you're motivated & have a gd attitude. The walking even w/ discomfort is necessary to
brain function & spine msg'g. With zip on mri, stay positive
since you found your magic pill, Baclofen. I posted somewhere
on board, I like the old dinosaur rx's. Baclofen is one of them.
It's used alot for myoclonus problems, (spastic muscles & spasm-
nerve conduction). Rapid ear-pops/clicks/jerks/throat pull/
leg cramps/spine injuries & MS. It got you mobile enough to stay
toned & it's cheap. It's not much for pain but use it or lose it. Everyone fights the old drugs. Never been a recall on that one! Nothing on brain mri usually means not ms. You may want to
scroll up to post by Oregon 24 on 10/17 & read my 10/17. Go to
google I mentioned abt benign fasciculations. I don't think you
have MS or ALS but it's a gd explanation site for movement
disorders. The cervical spine can have a small spur or disc
problem that can cause many painful movements & including the
cause of head-pressure & eye motion. The entry at skull base
has an area called 'the bundle'. If it swells, it becomes a
jammed pipe & brain msg crosses w/ spine msgs. Stay taking
what you know works. Gd-luck.
Avatar universal
Can someone help me understan my MRI reading?
Avatar universal
I just got an MRI and was a little nervous about seeing Severe notn-specific scattered punctate foci of Signal hyperintesity in the periventricular and subcortical white matter. I have to go see a Norologist to check the MRI because the MRI was ordered by my ears, nose and throat DR. Because, I was getting a high pitch ringing in my ear and I have had migrains.  2 bouts withing the last year that were bad.  But, I have been under a lot of stess.  Reading this has helped me a lot and put me at some ease.  Thank, Ken
Avatar universal
My Husband just and MRI of head the results read Abnormal,the findings read ,Noacute infarct is seen on diffusion wightted imaging. no evidence for Chiari Malformation,   Mild diffuse volume loss may be somewhat for patient age [69] .Tortuosity and ectasia of the  vertebro-basiler system may indicate long- standing systemic arterial hypertension,  Rare scattered areas of signal abnormality in deep and subcortical hemispheric white matter  suggests chronic small vessel ischemic changes,   What does all this mean and why don't they send you something telling what is going on in real words.     please answer if you can help        thanks Becky
Avatar universal
i had Gamma knife in feb 09 now my mri shaow inrease in size of Flair signal to double what it was in Aprils follow is this aconcern
Avatar universal
Recently had an MRI.  The following was stated:

Stents of abnormal signal intensity is seen in periventricular deep white matter bilaterally.  No associated contrast enhancement is present.  I do not appreciate any perilesional edema.  Differential would include demylenating disease, small vessel disease, vasculitis and migraines among others.

Parenchymal signal intensity otherwise is within the range of normal otherwise without evidence of acute infarct, mass or intracranial hemorrhage.  Sinuses are grossly clear.

Impression:  Extensive abnormal white matter signal changes - differential is given above

What does it mean?
Avatar universal
Hi, my husband had a seizure last week, had an MRI scan and on the report it said... MRI Scanning identified an area of oedema in the right temporal lobe with serval small foci of enhancement seen within the oedema. Probable primary brain tumour. We are waiting to see the Neurologist at Kings hospital. Can anyone advise if this is easy treatable? I just want to know he will be ok.
Avatar universal
   I had a brain scan then followed with lumbar puncure.The consultant said the lumaber fluid is ok and ive nothing to worry about,they picked up slight changes in my brain pattern,can anyone advise me what this can be as i never asked.
Avatar universal
just wondering what you found out with your MRI, I have the same results-just 2 days ago.  I've had a headache for about 3 weeks.....my GP said it appears to be Migrane.

Avatar universal
Can someone help me to decipher what this means? My sister had a MRI done and these were the findings:

"extra-axial CSF intensity lesions are detected in bilateral anterior temporal regions, right larger than the left. these appear hyperintense on T2 weighted and hypointense on FLAIR and TI weighted images. the larger of them on the right side, measures approximately 4.2x1.9 cm in size"
Avatar universal
Below are the MRI Result , can anyone tell me , what it mean , whether Surgery is needed or it can be cured by medicine.


A small well-defined lesion is noted in the right paracentral aspect of the pituitary gland – consistent with

pituitary micro adenoma. It measures 7 x 6.5mm in size.


 Pituitary micro-adenoma.

 No significant abnormality detected in the intracranial arteries.
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