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Years of MRI reports.

Oct 26, 2010 - 10 comments



Multiple Sclerosis


brain mri

Summed up. C-spine and T-spine clear of lesions.

MRI of the brain without contrast due to chronic headaches and pain in eyes- Age 30 impression: Very tiny punctuate area of white matter hyperintensity in the left frontal region which is non-specific. There are some prominent CSF (Virchow-Robin) spaces but I see no cortical infarct. I see no evidence of acute intracranial event.

MRI of the brain with and without contrast to check for MS - Age 35 impression: No acute enhancing demyelinating foci. There are a few scattered tiny white matter foci of increased signal intensity on FLAIR and T2-weighted sequences mainly stable from 2003. Interval development of 2 non-acute non-enhancing white matter foci are seen in the frontal lobe regions.

MRI of the brain with and without contrast to check for MS - Now, age 37 findings (more detail): There are numerous small white matter lesions scattered within the supratentorial brain parenchyma. These are all less than 5mm without mass or abnormal enhancement. There is no abnormal diffusion signal. The white matter lesions are peripherally located in the juxtacortical white matter.

Impression: There are numerous small white matter lesions scattered within the supratentorial brain parenchyma, predominantly in the juxtacortical white matter with no mass effect or abnormal enhancement. These are nonspecific and differential considerations for a patient this age would include sequela of chronic infectious or inflammatory process, collagen vascular diseases, or less likely demyelinating disease. Follow-up examination in 3 to 6 months would confirm stability of these lesions. Neurologic consultation is recommended.

Feb. 2010: Abnormal enhancement associated with a small lesion in the subcortical medial left parietal lobe compatible with active demylination. (I wrote this on the forum but I'm unable to find the paper at the moment. I'm sure I will soon. This is when I started with ON.)

March 2010 orbit study: There is questionable faint enhancement associated with the intraorbital segment of the left optic nerve, extending through the orbital apex into the pre-chiasmatic segment. There is slight effacement of the CSF around the optic nerve in the nerve sheath on the coronal T2 images in the region of the orbital apex of the left. This is asymmetric compared to the right. However the optic never is not obviously enlarged. Findings are compatible with mild optic neuritis. Further clinical correlation and followup recommended.

Parenchyma: Scattered subcortical white matter lesions are again demonstrated. Faint enhancement associated with the white matter lesion in the left parietal lobe is stable. No new enhancing abnormalities.

Oct. 2010: Bad grammar, punctuation, and spelling, but here it goes! There a few nonspecific T2 FLAIR foci periventricular subcortical white matter which are stable from prior study. These foci are nonenhancing and are imperceptible on T1. Although nonspecific, these foci could be consistent with provided history of multiple sclerosis.

Impression: Stable MRI the brain with nonspecific T2 FLAIR foci and paratracheal subcortical white matter. These foci do not meet imaging criteria for multiple sclerosis however, multiple sclerosis remains in the differential diagnosis. There are no new, enhancing, or diffusion positive foci seen.

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by shirley404, Nov 08, 2010
I had a MRI.   It read ( Multiple nonspecific foci of nonenhancing T2 weighted and flair hyperintensity within the supratentorial white matter.         DOES THIS MEAN I HAVE MS?

Avatar universal
by shirley404, Nov 08, 2010
My MRI also read.        Differential considerations include postishemic gliosis, positraumatic gliosis, migraine phenomena and denyelination recommend clinical correlation.      Mucosal thickening of the ethmoidal sinuses.     Hope someone can help me.  I'm so worried.  I'm a 68 year old women

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by Nickie72, Nov 12, 2010
I'd be concerned due to the demyelination. Have you gotten an MRI of your c-spine and t-spine? How about a spinal tap? These tests all help in getting diagnosed. If you and your doctor think you may have MS, every other illness that mimics it has to be ruled out first. Then again, its not unusual to have multiple diseases. It can be a very long process. Years!

Good  luck to you!

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by Missy1018, Feb 17, 2011
Question regarding my MRI - I've had a handful now but this is the most recent due to finding lesions in the white matter of both sides of my brain.

Comments:  Multiplanar T1, T2, FLAIR, DWI and ADC images of the brain were obtained and compare to the prior outside examination from Albany Open MRI.

The corpus callosum, brainstem, cerebellum visualized cervical cord, pituitary, crainial nerves VII and VIII and intracranial flow-voids are normal.  There are no abnormal areas of enhancement  within brain parenchyma on post constrast images.  There are scattered T2 and FLAIR hyperintensities throughout the white matter with shine through on to the DWI images.  Overall, these are unchanged in size and configuation  from prior examination.  

Impressions:  Stable scattered T2 and FLAIR white matter hyperintensities.  This may represent demyelinating disease.  Howere, there is no enhancement to suggest active disease.  The scattered hyperintensities may also represent age related small vessel white matter ischemic changes.

Can someone tell me what all of this means for me?  I seem to get a major runaround!  thanks.

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by Sue091961, May 20, 2011
Help I need clarification also, I'm so confused.  My GP said all is fine then I received a copy of the MRI reading and do not understand at all.
Numerous (greater than 9) T2 hyperintense white matter lessions, predominantly subcortical in distribution scattered throughout the supratentorial white matter.  Then ventricles are normal in size, there is no midline shift to herniation.  The cerebellum appears unremarkable.  No other signal abnormalities are identified.
IMPRESSION:  Numerous T2 white matter lesions, greater than expected for the patient's age (50). The findings are non specfic.  A small vessel disease or demyelinating process cannot be excluded.

Can anyone please help me to understand, does this mean I have on set MS???

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by keaheRN, May 21, 2011
Both the above impressions note white matter lesions that MAY be age-related changes &/OR a disease process. Basically it's what the radiologist sees, their "impression". The treating physician takes this info, the patient's hx/ complaints/symptoms, other diagnostic tests & their own exam/assessment to come up w/ a diagnosis. Sue...your report says you have lesions, which MAY or MAY NOT be totally normal for your age, but the lesions alone don't indicate any specific disease. Missy...your lesions have not changed since the previous MRI & the rad doesn't see active disease changes. Hope that helps a little. <3    

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by Sue091961, May 21, 2011
keaheRN, Thank you for acknowledging my post.  My report indicated that I had more than expected for my age which was the questioning factor.  Recently started meds for High Blood pressure................maybe a factor?!  Is it common to have these lesions to appear with age?  Or should it be something looked at more closely?

Again a big Thank you for your time and knowledge.

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by cnatin01, Oct 30, 2012
This is my first time posting in this forum, but would love some help.  I had an MRI on my brain due to palsy of the conjugate gaze.  The only thing it says on the MRI is that there is subtle foci of T2 weighted signal involves supratentional white matter, likely a manifestation of mildly atypical perivascular spaces, it is also says subtle perilateral white matter.  Can anyon help me understand what this means?  Any help is greatly appreciated!

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by sousou41, Feb 15, 2013
Hello everyone, I just had a non-contrast mri of the brain that shows a few small subcortical white matter foci. The largest lesion measures 4mm and is seen in the right centrum semiovale. The appearance is non-specific and represent early microangiopathic disease. There are no mass lesions. However, there is significant opacification of the frontal and ethmoid sinuses in keeping with chronic sinusitus. Should i worry about ms since i have all symptoms or not due to mri study. please reply asap cause iam really worried and ur help

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by susie815, Jun 29, 2013
My MRI says "scattered foci of FLAIR signal abnormality in cerebral white matter. Findings consistent with small vessel ischemic changes.  Can some one please tell me what that means? My left eye keepe going blind for 5 minutes at a time and I have numbness in hands and arms and this is getting me even more depressed that I already was.

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