HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Dose This MRI Report Indicate?

default
Posted on Wed, 9 May 2018
Question: I had an MRI W/o contrast three years ago and it foundscattered white matter flairhyperintensities indicating a demyelinating processes such as inflammatory, infectious and vascultic- just had mri w and w/o contrast found multiple nodules of demyelinization of the deep whit matter and could indicate demyelinating disease like MS but neurologist who reviewed it said small chance MS but I have very disturbing issues such as numbness tingling on left side-week foot and hand - I also just got blood test shows thyroid peroxidase antibodies 195H - I do have hypothyroid -confused need guidance
doctor
Answered by Dr. Dr. Erion Spaho (18 minutes later)
Brief Answer:
A cerebrospinal fluid examination may be necessary.

Detailed Answer:
Hello and thanks for using HealthcareMagic.

I have read your question and reviewed the attached report. I can understand your concerns.

Both MRI findings are suggestive of conditions such as multiple sclerosis.

In addition, thyroid peroxidase antibodies indicate that there's may be an autoimmune disorder active, even if these antibodies can't be related directly to MS.

Clinical and neurological features of MS show a relapsing/remitting fashion, this should be evaluated carefully by your Neurologist.

If in doubt about the diagnosis after MRI results and neurological evaluation, lumbar puncture (spinal tap) and cerebrospinal fluid examination about oligoclonal bands may be necessary to confirm or exclude MS.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Dr. Erion Spaho (33 minutes later)
Does thyroid peroxidase antibodies usually indicate autoimmune disease relating to thyroid like hashimotos thyroidis because TSH 1.25 and T4 free is .9 and T3 2.4
doctor
Answered by Dr. Dr. Erion Spaho (56 minutes later)
Brief Answer:
Yes.

Detailed Answer:
Welcome back.

Hashimoto's thyroiditis is actually an autoimmune disease and these antibodies may be found increased in such cases.

Hope this helps.

In good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Dose This MRI Report Indicate?

Brief Answer: A cerebrospinal fluid examination may be necessary. Detailed Answer: Hello and thanks for using HealthcareMagic. I have read your question and reviewed the attached report. I can understand your concerns. Both MRI findings are suggestive of conditions such as multiple sclerosis. In addition, thyroid peroxidase antibodies indicate that there's may be an autoimmune disorder active, even if these antibodies can't be related directly to MS. Clinical and neurological features of MS show a relapsing/remitting fashion, this should be evaluated carefully by your Neurologist. If in doubt about the diagnosis after MRI results and neurological evaluation, lumbar puncture (spinal tap) and cerebrospinal fluid examination about oligoclonal bands may be necessary to confirm or exclude MS. Hope you found the answer helpful. Let me know if I can assist you further. Take care.