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Aug 25, 2014 - 4 comments
Been sooooo busy I hadn't even checked to see if they had posted this report to MyChart. Not that there's much to see.
* * *Final Report* * *
DATE OF EXAM: Jul 30 2014 2:27PM
UMM 0474 - MRI BRAIN WWO CONTRAST / ACCESSION # 999999999
PROCEDURE REASON: Abnormality of gait
* * * Physician Interpretation * * *
MRI BRAIN WWO CONTRAST
HISTORY: Abnormal gait. Clinical concern for possible demyelinating process. Routine follow-up
TECHNIQUE: Brain MRI with demyelinating disease protocol with and without gadolinium.
MR Contrast: Gadavist
MR Contrast Volume (ml): 10
MR Contrast Route of Administration: Intravenous
COMPARISON: MRI Brain on 09/14/2013
BRAIN RESULT:
Findings: Few foci of T2/FLAIR hyperintensity scattered in the brain parenchyma, along the periventricular, and asymmetric T2/FLAIR hyperintensity adjacent to the right occipital horn. There is corresponding T1 hypointensity and no enhancement. Extent of signal change is very limited, but this appearance can be seen as a sequela of
previous demyelination.
New T2 Lesions: Zero
Interval Improvement: Not applicable.
New Enhancing Lesions: Zero.
T2 Burden of Disease: Mild.
Parenchymal Volume Loss: None.
Other Significant Findings: Morphology the brain is otherwise normal. Major intracranial arterial structures and dural venous sinuses show typical flow void consistent with patency by spin echo criteria.
IMPRESSION:
Stable, nonspecific intracranial deep white matter lesions can be seen in the setting of multiple sclerosis. No new T2 lesions or enhancing lesions.
* * *Final Report* * *
DATE OF EXAM: Jul 30 2014 2:27PM
UMM 0474 - MRI BRAIN WWO CONTRAST / ACCESSION # 999999999
PROCEDURE REASON: Abnormality of gait
* * * Physician Interpretation * * *
MRI BRAIN WWO CONTRAST
HISTORY: Abnormal gait. Clinical concern for possible demyelinating process. Routine follow-up
TECHNIQUE: Brain MRI with demyelinating disease protocol with and without gadolinium.
MR Contrast: Gadavist
MR Contrast Volume (ml): 10
MR Contrast Route of Administration: Intravenous
COMPARISON: MRI Brain on 09/14/2013
BRAIN RESULT:
Findings: Few foci of T2/FLAIR hyperintensity scattered in the brain parenchyma, along the periventricular, and asymmetric T2/FLAIR hyperintensity adjacent to the right occipital horn. There is corresponding T1 hypointensity and no enhancement. Extent of signal change is very limited, but this appearance can be seen as a sequela of
previous demyelination.
New T2 Lesions: Zero
Interval Improvement: Not applicable.
New Enhancing Lesions: Zero.
T2 Burden of Disease: Mild.
Parenchymal Volume Loss: None.
Other Significant Findings: Morphology the brain is otherwise normal. Major intracranial arterial structures and dural venous sinuses show typical flow void consistent with patency by spin echo criteria.
IMPRESSION:
Stable, nonspecific intracranial deep white matter lesions can be seen in the setting of multiple sclerosis. No new T2 lesions or enhancing lesions.
Well, PD, since both your symptoms and your MRI are consistent with 'the setting of MS,' why aren't they calling it MS? Not that you would know, but have you asked just this question of the docs? And I see they don't mention your history of significant eye issues, along with (ataxic?) gait. If it's not MS, what else could it be? It may be 'mild' in terms of MRI results, but it's not mild to you.
It's just maddening, I know. I went years too. Hang in there, guy. There are a lot of folks here who do understand. Maybe your neuro would be open to prescribing a DMD on the basis of probable MS. I hope so.
It's just maddening, I know. I went years too. Hang in there, guy. There are a lot of folks here who do understand. Maybe your neuro would be open to prescribing a DMD on the basis of probable MS. I hope so.
Well, of course, Essie, the bigger hurdle could well be: would the insurance company be willing?
It's a real bummer, I know to well as we both are still in Limobland for years now...
take care
JB
take care
JB
PD,
I feel you, I feel you and I FEEL YOU. The frustration of this process is beyond imaginable.
Push your Neuro. He's got to stop sitting on the fence with your health. You want to be proactive in your care. What is it to him if he prescribes Copaxone or some other DMD? It's your body and you want to do something about it. Would not he? I bet he would move heaven and earth if he was experiencing what you were. In fact, your Neuro would have been on something already I'm sure.
Hang in there -- and push. Bite the bullet and no more walking on egg shells for egotistical Neurologists. This is your health, your life.
Lisa
I feel you, I feel you and I FEEL YOU. The frustration of this process is beyond imaginable.
Push your Neuro. He's got to stop sitting on the fence with your health. You want to be proactive in your care. What is it to him if he prescribes Copaxone or some other DMD? It's your body and you want to do something about it. Would not he? I bet he would move heaven and earth if he was experiencing what you were. In fact, your Neuro would have been on something already I'm sure.
Hang in there -- and push. Bite the bullet and no more walking on egg shells for egotistical Neurologists. This is your health, your life.
Lisa
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