Question: At the age of 60, T2-FLAIR images showed that I have a 4mm rounded focus of increase signal intensity within the posterior aspect of the right corona radiata which was not present in a previous study done in 2000. This area also demonstrates subtle enhancement following contrast infusion. Just inferior to this area, there is a slightly prominent vein along the lateral margin of the right lateral ventricle which could represent a small vascular malformation not seen in the previous study because the technology is better in 2013. No other abnormalities or masses were found. Alternatively this could represent an area of subacute infarction , inflammation, or demyelination.

My neurologist thinks it was a XXXXXXX stroke and I have been put on a course of aspirin, cholesterol and high blood pressure meds because these are borderline. The Doctor is puzzle because the symptoms which led to the MRI of vertigo and imbalance do not match the diagnosis. I did have pitosis of the left eyelid which was operated on in 2012. I am not sure if this is related to the finding although I was told it was age and muscle related. I am also being tested currently for infectious diseases and I do not know the outcome of the tests right now.

I have been told to wait two months for a repeat MRI which may give a clue that if it is a vascular lesion, it will remain the same. If it is inflammation or other, there will be changes. The waiting has led to stress and speculation on my part that this is going to be a serious event. The neurologist assured me that it is a benign event with the worst case being stroke related.

Can you give me a second opinion about my case? What is your professional opinion about my condition?