Question: Hello - could you please give these MRI images a look? I just wanted a second opinion before I move forward. If the image file sizes are too small please let me know and I will adjust.

Do you happen to see a mass located left Maxillary Sinus, or any location? If so, given the certain risk factors should I proceed to ENT specialist and request FESS removal, or try another type of antibiotic first?

This would be an incidental finding if anything is to be discovered, original reason for the MRI was odd and persistent headache, radiating numbness and tingling, severe muscle spasms and cramping, cramping in the joints, minor gait issues, cognitive deficits and nerve pain that radiates on occasion from left tonsil area up into my brain and sometimes straight down from there. Neurologist cited possible Peripheral Neuropathy from chronic viral illness and weakened immune state.

RISK FACTORS:

-The day of this MRI is the same day I completed a full course of Ciprofloxacin antibiotic 500mg X2 daily for unrelated bladder infection
- I have no symptoms of runny nose, congestion or drainage - some blood on occasion when blowing nose but I thought maybe that was allergies
- Fever at 99.7-100.4 range for a very long time now
- High reoccurring rate for infections
- Frequent mouth sores
- HPV(16) infection about a decade ago
- High viral load of EBV for nearly a year now, with reactivation and recently tested positive for a new infection as well

I know that Nasopharengyl Cancers are very rare, even more so for my gender and age range. However, the strong ties of EBV to these forms of cancer is something I should pay attention to. Especially since this form of cancers is often not diagnosed until the late stages.

I hope I did not offend you citing information you already know. Thank you in advance for your time helping me make the best decision.

Hello and thank you again for your time, I have gone through so much change in a year and had to learn so much regarding my own health its frightening.

I will get the CD uploaded later for your review.

Thank you very much!!

Dr. Chail,

I am having a little bit of trouble with the images, it will take a lot longer than I anticipated. Is there a series of images or a more specific set that you would like me to get versus the entire thing, or is the entire set best?


Thank you!

I am not sure what that means, but I learn quickly so I will figure it out and have the images ready by tomorrow evening.


Thank you kindly!!!

Hello Doctor,

To share the images with you on Dropbox, do I need to email you the invitation link or is there another way?

Thank you!

Maybe this link will work?

https://www.dropbox.com/home/mri%20images%20for%20dr.%20chail

I sent the invitation. Thank you.

Also, I thought to look in my nose days ago and thought I saw something, today however I can really see something. My nose was not deviated ever before this is a really bad looking deviation as the left nostil (my right) looks like it is swollen on inside nostril, however it is not. It's my septum!

Also is some swelling coming from the other side, sort of looks like a polyp, it is a dark pink, my airway is almost fully restricted on that side.

Not sure if this helps at all, I am doing my best to understand the MRI images in relation to location so I almost wonder if the abnormal growth you see might be where the possible polyp (if it is a polyp) attaches to.

Thank you so much for your help!

I did have some work done years ago in that area. I will wait to see if symptoms of fever or worsening of inflammation happens in the days coming to decide on seeing a doctor for possible infection.

Actually - just one last question... I am incredibly interested in all things medical and how they work.

For my MRI's for instance, what causes that large black circle? You know the one where if you invert the coloring shows a slight rim of coloring along the inside of it?

I am in no way questioning your judgement - I am honestly interested in learning anything new when the opportunity presents itself. I am referring to the images of T2* that I originally sent to you.

Last time I bother your time, I promise