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What Does My MRI Scan Report Indicate?

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Posted on Mon, 15 Feb 2016
Question: I had an MRI 2 years ago as i had a seizure due to dehydration.
Doctor at that time told me its normal.

When i was reading it with the little french i know it mentions that all ventricles are normal size and the cortex is normal.

However, it also mensions minimal hyperintensity in superior corical frontal and also right cortical ...

Are minimal hyperintensities common at my age ? I read these appear part of age relating process over 60 ..
I have minimal hyperintensities in my 30 s .. Why wouldnt the doctor tell me all is normal ?
Please find artached the report but its in french i cant translate it all but my main concern are the Minimmal hyperintensities are they common at my age ?

Thanks for your feedback .
doctor
Answered by Dr. Dr. Erion Spaho (52 minutes later)
Brief Answer:
Probably findings due to examination technique failure.

Detailed Answer:
Hello again and thanks for being here on HCM.

I have read your question and the MRI report too.

Minimal hyperintensities on MRI are not a common finding at your age.

The report states that there are two minimal hyperintensities in frontal and parietal lobes found only on DWI ( diffusion weighted imaging ), not in other sequences of MRI.

Hyperintensities in DWI MRI could indicate demyelination disease, migraine headaches sequel s, etc.

The report also states that exists the possibility for this finding to be caused by artephacts too ( due to examination technique failure ).

The important part is that there are no symptoms to justify these lesions, so, it is my personal opinion that these findings are caused by examination technique failure.

I see that you are more concerned about this issue than necessary.

In order to be sure about the nature of these findings a new MRI is needed.

Hope you found the answer helpful.

I remain at your disposal for further questions and clarifications.

In good health.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (15 hours later)
Dear Doc,
I went and had a follow up mri please find attached photos .
The radiologist says that the sulci are widened
There are arachnoidal cysts
There is a hyperintensity in basal ganglia ( probably ischemic!)

Report will come tomorrow

Do you concur based on the attached photos ?
doctor
Answered by Dr. Dr. Erion Spaho (2 hours later)
Brief Answer:
Full MRI images are needed. Please upload it.

Detailed Answer:
Welcome back XXXXXXX

I have examined the MRI pictures you uploaded and there is actually sulcal widening.

There seem to be no ischemic infarcts, at least on the cross sections you uploaded.

It is important for me to examine entire MRI images, in order to have a correct answer to your question, so, please upload the DICOM folder and report to google drive for example.

Awaiting for the full MRI....
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (25 hours later)
Thanks doc ..
I have downloaded the whole images on google drive

Username : YYYY@YYYY
Password : xxxxxxxxxxxxxxxxx
doctor
Answered by Dr. Dr. Erion Spaho (15 hours later)
Brief Answer:
I examined the MRI images, read below.

Detailed Answer:
Welcome back XXXXXXX

I examined your MRI (HDCM folder contained only 37 mb of DICOM images), and I see sulcal widening on both frontoparietal regions.

I have some doubts about basal ganglia hyperintensity, but clearly there is not any ischemic stroke evidence.

These hyperintensities can be related to transient hypoxia during your seizure.

However, there seems to be any abnormal finding that may point to any serious neurological disorder.
In my opinion, periodic follow up with your Doctor is sufficient.

Hope I helped you.

Keep staying healthy.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (37 minutes later)
Dear Doc,

Thank you doctor .. This mri is 2 years after the seizure episode.
Is it possible that this hypersensitivity can be transient and not a lacunar infarction ?

The seizure was 2 years back

There seems to be abnormal or not abnormal please clarify your sentence ..are you saying abnormal or XXXXXXX

The mri that i havl
doctor
Answered by Dr. Dr. Erion Spaho (11 minutes later)
Brief Answer:
Hypoxic changes could show up after years on MRI.

Detailed Answer:
Welcome back.

Hypoxic changes could be visible on MRI after several years.

At this moment, there are no abnormal findings that could justify presence of any serious neurological disorder.

However, periodic follow up is needed about sulcal widening.

Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: Probably findings due to examination technique failure. Detailed Answer: Hello again and thanks for being here on HCM. I have read your question and the MRI report too. Minimal hyperintensities on MRI are not a common finding at your age. The report states that there are two minimal hyperintensities in frontal and parietal lobes found only on DWI ( diffusion weighted imaging ), not in other sequences of MRI. Hyperintensities in DWI MRI could indicate demyelination disease, migraine headaches sequel s, etc. The report also states that exists the possibility for this finding to be caused by artephacts too ( due to examination technique failure ). The important part is that there are no symptoms to justify these lesions, so, it is my personal opinion that these findings are caused by examination technique failure. I see that you are more concerned about this issue than necessary. In order to be sure about the nature of these findings a new MRI is needed. Hope you found the answer helpful. I remain at your disposal for further questions and clarifications. In good health.