HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does This MRI Report Indicate?

default
Posted on Tue, 27 Jan 2015
Question: What does my mri mean? Multiple subcortical FLAIR foci involving predominately the frontal and parietal lobes without enhancement or periventricular lesions noted. These findings are greater than expected for the patient's age but are nonspecific although the lack of periventricular lesions would argue against a demyelinating process. Inflammatory, infectious, or traumatic processes could cause these lesions in addition to vascular etiologies. Currently there is no active enhancement or focal mass effect noted. If the patient's symptoms persist a follow-up examination to document stability of the findings may be helpful.
Probable mucous retention cyst noted in the nasopharynx which may result in some eustachian tube dysfunction and mastoid air cell
fluid on the right.
doctor
Answered by Dr. Sudhir Kumar (34 minutes later)
Brief Answer:
Common causes are ischemia and migraine.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted the MRI brain reports. I would like to reassure you that these are not suggestive of any serious neurological problem.

As suggested, various causes can explain these MRI findings, however, in my opinion, ischemia (lack of blood flow to brain) and migraine are the most likely possibilities.

If you are a person who gets repeated headaches, I would consider migraine more likely.

If you had risk factors such as high BP, sugars, or cholesterol, I would consider ischemia more likely.

MRI findings do not look like multiple sclerosis, another common condition at your age.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http:XXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir Kumar (16 hours later)
Can extreme sleep apnea cause the lesions? I dont get migraines. Is it impossible its ms cause i have a lot of the symptoms of it?
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer:
Yes, sleep apnea can cause these lesions.

Detailed Answer:
Thank you for getting back.

Sleep apnea is a risk factor for causing brain ischemia. So, in principle, these MRI lesions may be caused by extreme sleep apnea.

I agree that you have many symptoms of MS, however, these symptoms are non-specific and can occur with most brain/nervous system diseases. For diagnosing MS, we need specific MRI lesions as proposed in the diagnostic criteria, which are lacking in your case.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Sudhir Kumar (4 minutes later)
So are these lesions considered a brain disease? Can they be fixed? Do u think they could be causing my cohnitive impairment?
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Yes, they can be treated.

Detailed Answer:
Thank you for getting back.

Yes, these MRI lesions represent a brain disease.

Cognitive impairment can result from these lesions.

Proper treatment after confirming the diagnosis would help you get better.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This MRI Report Indicate?

Brief Answer: Common causes are ischemia and migraine. Detailed Answer: Hi, Thank you for posting your query. I have noted the MRI brain reports. I would like to reassure you that these are not suggestive of any serious neurological problem. As suggested, various causes can explain these MRI findings, however, in my opinion, ischemia (lack of blood flow to brain) and migraine are the most likely possibilities. If you are a person who gets repeated headaches, I would consider migraine more likely. If you had risk factors such as high BP, sugars, or cholesterol, I would consider ischemia more likely. MRI findings do not look like multiple sclerosis, another common condition at your age. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http:XXXXXX