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What Does The Brain MRI Report Indicate?

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Posted on Sat, 7 Mar 2015
Question: I had a MRI done last week due to a few headaches and syncope. I expected it to only show sinus infection, however, the MRI report actually showed something else. I am very frightened by this as I have a 3 year old son. The report reads as follows:







MRI brain without contrast
Indications: HA, syncope

Comparison: none

Findings: Unremarkable study except for a small high T2 and flair signal intensity lesion within the left anteromedial corona radiata white matter adjacent to the anterior aspect of the cingulate gyrus measuring 10.9x8.3 mm. This is consistent with a small focus of gliosis related to prior trauma or ischemia. Also in the differential diagnosis would be a small glial neoplasm. Recommend follow-up study with IV contrast in 3 months to assess stability.
Impression: No acute intracranial process. A solitary focus of gliosis left anteromedial corona radiata white matter with differential diagnosis including a small glial lesion. Therefore recommend follow up in 3 months.



My question/ concern is am I safe to travel alone with my child? Is it safe to go three months without rechecking? I am just scared and need a little reassurance. Thank you!
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
Findings are not serious

Detailed Answer:
Hello

Findings are not serious.Gliosis is sequel of injury to brain tissue.Injury may be in the form of ischemia(decreased blood supply),trauma etc.
Gliosis is a repair mechanism of brain tissue if there is any injury and it is a healed stage.This generally doesn't require any treatment.
There is also possibility of glial neoplasm in such finding,so you are advised for follow up scan after three months to assess increase in size,any deterioration etc.
You are rightly advised for contrast MRI next time and if there is diagnostic dilemma then spectroscopy can also be done.It helps in better characterization of lesions.

Generally it is not a serious finding and there is no need to be so worried.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (2 days later)
This is probably a crazy question, but could be eye lids twitching be in any way related to this? I have noticed it alot lately. It could have been doing it for years and I am just now really aware of it?
doctor
Answered by Dr. Indu Kumar (47 minutes later)
Brief Answer:
It is generally due to fasciculation.

Detailed Answer:
Hello

No,eye lids twitching is not related to this.It is generally due to fasciculation.Fasciculation is a temporary stage and if it is persistent then you may need assessment.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does The Brain MRI Report Indicate?

Brief Answer: Findings are not serious Detailed Answer: Hello Findings are not serious.Gliosis is sequel of injury to brain tissue.Injury may be in the form of ischemia(decreased blood supply),trauma etc. Gliosis is a repair mechanism of brain tissue if there is any injury and it is a healed stage.This generally doesn't require any treatment. There is also possibility of glial neoplasm in such finding,so you are advised for follow up scan after three months to assess increase in size,any deterioration etc. You are rightly advised for contrast MRI next time and if there is diagnostic dilemma then spectroscopy can also be done.It helps in better characterization of lesions. Generally it is not a serious finding and there is no need to be so worried. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX