Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Does The Following MRI Report Mean?
I wouls like to know what all this means please, ms runs in my family!
MRI BRAIN WITHOUT AND WITH CONTRAST 24-Oct-2014
CLINICAL HISTORY: Migranes. Suspected multiple sclerosis.
COMPARISON: Only prior brain MRI obtained here on 2/2/10.
TECHNIQUE: Multiplanar MRI of head without and with contrast enhancement (7.5 cc of Gadavist intravenously out of a
7.5 cc vial) on 16 channel GE HDXT 1.5 Tesla magnet.
FINDINGS:
Posterior fossa: Cerebellum: No infarct, mass, or other abnormalities.
Mastoids: No abnormalities.
Internal auditory canals (IAC): No abnormalities.
Supratentorial: Multiple white matter T2 and FLAIR sequence hyperintensities. Primarily in the centrum
semiovale but also within the subcortical U fibers. The corpus callosum appears to be unremarkable but there
is some subcallosal hyperintensity.
No acute infarct, bleed, or edema. No diffusion hyperintensities. No abnormal enhancement.
Ventricles and basal cisterns: No ventriculomegaly. Basal cisterns are patent.
Sella and parasellar structures: No pituitary enlargement or mass.
Extra-axial structures: No extra-axial mass, hematoma, or fluid collections.
Others: Sinuses: No abnormalities.
Osseous structures: No abnormalities.
Orbits: No abnormalities.
Vascular structures: Age appropriate.
IMPRESSION:
Multiple bright foci on T2 and FLAIR in the centrum semiovale and subcortical U fibers without restricted
diffusion without enhancement. Findings are consistent with demyelinating disease but nonspecific.
Differential includes Lyme disease, vasculitis, migraine sequela and others.
MRI BRAIN WITHOUT AND WITH CONTRAST 24-Oct-2014
CLINICAL HISTORY: Migranes. Suspected multiple sclerosis.
COMPARISON: Only prior brain MRI obtained here on 2/2/10.
TECHNIQUE: Multiplanar MRI of head without and with contrast enhancement (7.5 cc of Gadavist intravenously out of a
7.5 cc vial) on 16 channel GE HDXT 1.5 Tesla magnet.
FINDINGS:
Posterior fossa: Cerebellum: No infarct, mass, or other abnormalities.
Mastoids: No abnormalities.
Internal auditory canals (IAC): No abnormalities.
Supratentorial: Multiple white matter T2 and FLAIR sequence hyperintensities. Primarily in the centrum
semiovale but also within the subcortical U fibers. The corpus callosum appears to be unremarkable but there
is some subcallosal hyperintensity.
No acute infarct, bleed, or edema. No diffusion hyperintensities. No abnormal enhancement.
Ventricles and basal cisterns: No ventriculomegaly. Basal cisterns are patent.
Sella and parasellar structures: No pituitary enlargement or mass.
Extra-axial structures: No extra-axial mass, hematoma, or fluid collections.
Others: Sinuses: No abnormalities.
Osseous structures: No abnormalities.
Orbits: No abnormalities.
Vascular structures: Age appropriate.
IMPRESSION:
Multiple bright foci on T2 and FLAIR in the centrum semiovale and subcortical U fibers without restricted
diffusion without enhancement. Findings are consistent with demyelinating disease but nonspecific.
Differential includes Lyme disease, vasculitis, migraine sequela and others.
Tue, 9 Dec 2014
I read your query and I understand your concern.
Essentially that MRI shows multiple small lesions in your brain. It says that such lesions can be as a result of multiple sclerosis, but similar lesions could be caused also by other conditions such as Lymes disease, vasculitis, migraine etc.
So for a final diagnosis it is up to the neurologist. If your history and physical exam strongly suggest multiple sclerosis then this MRI can be enough for him to establish that diagnosis and start treatment.
If it doesn't or if he has doubts, then other tests may be required like for MS evoked potentials, lumbar puncture for oligoclonal bands, or other specific corresponding tests for those other suggested diagnoses.
I hope everything works for the best.
Essentially that MRI shows multiple small lesions in your brain. It says that such lesions can be as a result of multiple sclerosis, but similar lesions could be caused also by other conditions such as Lymes disease, vasculitis, migraine etc.
So for a final diagnosis it is up to the neurologist. If your history and physical exam strongly suggest multiple sclerosis then this MRI can be enough for him to establish that diagnosis and start treatment.
If it doesn't or if he has doubts, then other tests may be required like for MS evoked potentials, lumbar puncture for oligoclonal bands, or other specific corresponding tests for those other suggested diagnoses.
I hope everything works for the best.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....