Pls Help Pls Urgent

[confusedasia]

Can please someone help me to interpret the below findings?

I have done 1 CT and 2 MRI scans with contrast. the last report stated:

Findings
There is a fairly well demarcated lobular lesion in the right posterior cerebellar hemisphere in its mid portion. It measures 1.3(tr) x 1.4 (ap) x 2.0 (ht) cm in dimension. It is predominantly T2 hypointense with a mild T1 hyperintense gyriform rim and susceptibility artefacts. it shows an internal gyriform enhancement post contrast but no obvious mass effect or oedema is detected.

There are a couple of stable small scattered T2 hyperintensities in the subcortical white matter of the right frontal and parietal lobes as before.

The rest of the brain shows a normal configuration and grey white matter differentiation. No other focal lesion, haemorrhage, mass effect, or oedema is demonstrated. The midline structures and craniocervical junction are intact, and no midline shift is detected. The pituary gland exhibits normal signal and size. The ventricles and extracerebral CSF spaces are normal in size. The visualised major intracranial vessel demonstrate normal signal flow voids.

Both ocular globes, retro-orbital spaces and posterior nasopharynx appear unremarkable. The visualised paranasal sinuses and mastoid air cells appear clear.

Impression:
The lesion in the right posterior cerebellar hemisphere has remained fairly stable. It may represent a vascular lesion (e.g malformation) or less likely a low grade tumour. The mild right frontal and parietal subcortical leukoaraiosis is unchanged and non specific, possibly age related or representing chronic microvascular ischaemia, demyelination or gliosis.

[confusedasia]

please please assist please help to interpret

[Dr. Kokil Mathur]

Hi!
MRI shows T1 and T2 images which are taken at different signal intensities. In a lay man’s language it means that a low signal intensity lesion was picked up during T2 signal intensity imaging. This mass showed a hyperintense rim or margin while T1 signal imaging was being done. Such a mass usually has blood and can be an aneurysm or a malformation of blood vessel etc. Less often such a mass is a slow growing tumor. Your doctor needs to correlate it clinically. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.

[confusedasia]

Tks Dr Koki

Doctor was suggesting to wait for 6 mths for another MRI. And another Doctor was asking me to consider Angiogram which I am surely afraid of.

Both Doctors cannot cfm AVM. But discussion with the Radiologist, they suspect AVM.

I am soooo lost!!

[Dr. Kokil Mathur]

I can understand your confusion. Please ask both the doctors the risks of waiting. Also if you have a number of neurological symptoms or an intractable headache not responding to treatment, then it is wiser to go for more aggressive investigation.

[confusedasia]

Currently I only have on and off headaches or migraines but no spcific area. It can go all over the place. Im feeling ok. Oh yes I yave high blood high cholesterol and high sugar. Im now on medications. And hv good control over the above.

Once a while I have abit of giddy and today I was referred to eye clinic for check up as the optometrist found cotton like spots on my right eye. Coincidentally where the suspcted avm brain on the right too.

I m wondering why doctors cannot cfm avm n mri scans and ct scan tat I did

Many tks for ur encouragement