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What Does My MRI Scan Report Indicate?
Question: What kid of issues would be seen abnormal on a MRI of the brain specifically on the skull that would not be seen on an X-RAY or CT?
I have MS and lesions have not changed since my last MRI, but there are abnormalities on my skull. Look like black bubbles according to my neurologist but she has never seen it before so X-ray and CT ordered and came back normal.
I have MS and lesions have not changed since my last MRI, but there are abnormalities on my skull. Look like black bubbles according to my neurologist but she has never seen it before so X-ray and CT ordered and came back normal.
Brief Answer:
MRI provides better visualization of soft tissue of the orbit.
Detailed Answer:
Hello and thanks for being on Healthcaremagic.com.
I have read your question and understand your concerns.
I mentioned briefly in the follow up answer the differences between the MRI, CT and x-rays imaging about eye and its surrounding areas structure.
Let me explain more in details these changes related to your concerns.
Magnetic resonance imaging provides better imaging of the orbital contents (optic nerve, ocular muscles and fat, CT scan and less x-rays, provide better visualization of orbital bony structure.
MRI ( some sequences ) could identify also active inflamation within the orbite.
In your case, if there is an inflamation for example, of the ocular muscles, it could be missed by CT or x-rays, and can be identified by MRI.
Black areas in MRI probably correspond to fat suppression sequences used in MRI, but more information about the MRI technique and results is needed in order to have a correct understanding of your condition.
Hope you found the answer helpful.
Let me know if I can assist you further.
Wishing you good health.
MRI provides better visualization of soft tissue of the orbit.
Detailed Answer:
Hello and thanks for being on Healthcaremagic.com.
I have read your question and understand your concerns.
I mentioned briefly in the follow up answer the differences between the MRI, CT and x-rays imaging about eye and its surrounding areas structure.
Let me explain more in details these changes related to your concerns.
Magnetic resonance imaging provides better imaging of the orbital contents (optic nerve, ocular muscles and fat, CT scan and less x-rays, provide better visualization of orbital bony structure.
MRI ( some sequences ) could identify also active inflamation within the orbite.
In your case, if there is an inflamation for example, of the ocular muscles, it could be missed by CT or x-rays, and can be identified by MRI.
Black areas in MRI probably correspond to fat suppression sequences used in MRI, but more information about the MRI technique and results is needed in order to have a correct understanding of your condition.
Hope you found the answer helpful.
Let me know if I can assist you further.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Raju A.T
Here are my MRI images:
https://drive.google.com/yyyyyyyyyyy?id=0By_pQb-bDrsOMDhKUyyyyyyyyyyyyyyyyyyharing
https://drive.google.com/yyyyyyyyyyy?id=0By_pQb-bDrsOMDhKUyyyyyyyyyyyyyyyyyyharing
Brief Answer:
Follow up.
Detailed Answer:
Hello again XXXXXXX
I examined the reports and DICOM images of the different MRI and CT imaging studies done last year.
There seems to be more soft tissue behind the left eye, that may be inflammation of fat and connective tissue, but no clear evidence about any mass that may push the eye outside.
There are "new" white matter lesions in frontal lobes, consistent with MS lesions, that means MS progression.
Another reason that may be causing eye to come out of socket could be weakening of ocular muscles.
In conclusion, there is no clear evidence of any orbital mass to cause eye to drop out, according to MRI and CT scan findings.
The next step, in my opinion, should be a reevaluation by your Ophthalmologist and a comparison with the results of the last year visit.
Hope I've been of help.
I remain at your disposal for further clarifications.
Wishing you good health.
Follow up.
Detailed Answer:
Hello again XXXXXXX
I examined the reports and DICOM images of the different MRI and CT imaging studies done last year.
There seems to be more soft tissue behind the left eye, that may be inflammation of fat and connective tissue, but no clear evidence about any mass that may push the eye outside.
There are "new" white matter lesions in frontal lobes, consistent with MS lesions, that means MS progression.
Another reason that may be causing eye to come out of socket could be weakening of ocular muscles.
In conclusion, there is no clear evidence of any orbital mass to cause eye to drop out, according to MRI and CT scan findings.
The next step, in my opinion, should be a reevaluation by your Ophthalmologist and a comparison with the results of the last year visit.
Hope I've been of help.
I remain at your disposal for further clarifications.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Prasad
Hello
Thank you for your detailed explanation. Could there be a tumor or something behind the eye or is that probably not the case? I have pressure on the left side of my head and a throbing feeling that comes and goes.i will see what the doctor says on Mon and let you know. I am also requesting another Mri but not at the ms center to make sure it isn't a machine issue.
Do you think the lemtrada might be the reason for the inflammation?
I have been sick with viruses for the past six months after the infusion. I have another dose in XXXXXXX
Is there any other doctor you think I should see?
My eye feels weird and so worried about it happening again.
You have been so extremely helpful.
I am very appreciative.
Thanks XXXXXXX
Thank you for your detailed explanation. Could there be a tumor or something behind the eye or is that probably not the case? I have pressure on the left side of my head and a throbing feeling that comes and goes.i will see what the doctor says on Mon and let you know. I am also requesting another Mri but not at the ms center to make sure it isn't a machine issue.
Do you think the lemtrada might be the reason for the inflammation?
I have been sick with viruses for the past six months after the infusion. I have another dose in XXXXXXX
Is there any other doctor you think I should see?
My eye feels weird and so worried about it happening again.
You have been so extremely helpful.
I am very appreciative.
Thanks XXXXXXX
Brief Answer:
Follow up.
Detailed Answer:
Hi again XXXXXXX
According to CT scan and MRI results, you can peace your mind, there is no condition such tumor that caused your eye to drop out.
Lemtrada could be the culprit of inflammation and also, it can cause lowering of white blood cells predisposing this way to infections.
As I mentioned before, first step in diagnosis is an Ophthalmologist evaluation.
If the Ophthalmologist thinks about any infection of eye muscles or orbital soft tissue, an Infections diseases specialist should be consulted.
Do get back to me if you have further questions.
Greetings.
Follow up.
Detailed Answer:
Hi again XXXXXXX
According to CT scan and MRI results, you can peace your mind, there is no condition such tumor that caused your eye to drop out.
Lemtrada could be the culprit of inflammation and also, it can cause lowering of white blood cells predisposing this way to infections.
As I mentioned before, first step in diagnosis is an Ophthalmologist evaluation.
If the Ophthalmologist thinks about any infection of eye muscles or orbital soft tissue, an Infections diseases specialist should be consulted.
Do get back to me if you have further questions.
Greetings.
Above answer was peer-reviewed by :
Dr. Prasad
Thank you. I'll let you know if I have any other questions after my appointment on Monday. You're the best!
Brief Answer:
You are welcome.
Detailed Answer:
Thanks for the kind words, glad I helped you.
Looking forward to hear from you.
Take care.
You are welcome.
Detailed Answer:
Thanks for the kind words, glad I helped you.
Looking forward to hear from you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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