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What Does This MRI Report Indicate?
Question: I had a MRI performed a week ago. I assumed it would show nothing but a sinus infection, because I normally feel great and am very healthy. However, my MRI report showed something else.
Brief Answer:
The MRI report is needed
Detailed Answer:
Hello. I have been through you question and understand your concern.
The information you have given is not complete. Please tell me what was the cause that lead you perform the MRI and also the full report of the MRI is important to better understand the nature of the lesion.
Glial lesions are common and may have different causes, with most of them being benign. Still if you give the full report I think I would be more helpful and make you understand better the situation.
Best regards.
The MRI report is needed
Detailed Answer:
Hello. I have been through you question and understand your concern.
The information you have given is not complete. Please tell me what was the cause that lead you perform the MRI and also the full report of the MRI is important to better understand the nature of the lesion.
Glial lesions are common and may have different causes, with most of them being benign. Still if you give the full report I think I would be more helpful and make you understand better the situation.
Best regards.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
The report reads: "Impression: No acute intracranial process. A solitary focus of gliosis left anteromedial corona radiata white matter with differential diagnosis including a small glial lesion. No other significant findings."
I had booked a cruise previous to getting this report and am terrified now to take off on a ship alone with my 3 year old. Are my fears unfounded?
I had the MRI performed because I blacked out one night, but I really feel that was from the sinus infection. It was so bad that it showed on the MRI.
I had booked a cruise previous to getting this report and am terrified now to take off on a ship alone with my 3 year old. Are my fears unfounded?
I had the MRI performed because I blacked out one night, but I really feel that was from the sinus infection. It was so bad that it showed on the MRI.
Brief Answer:
Incidental finding
Detailed Answer:
Hello. The location of the lesion should not be associated to any symptoms at all. It is an incidental finding. There is nothing to worry about. With the MRIs getting done more frequently, incidental findings are getting more frequent as well, like in your case. They are very common and if you do an MRI to 10 random people of your age, some of them will have the same MRI changes. The questions is what to do to these lesions? Generally these lesions are not treated. These are just observed in time, with yearly MRI follow ups, to see if there is any eventual increasing in dimension. The contrast can help on ruling out anything malignant, but in 99% it does not enhance after contrast, confirming its benign nature.
So basically, you better take the trip, and do not condition yourself to an incidental finding, that probably you would never have known if you never had the MRI done.
Hope this helps. Please feel free for further questions.
Incidental finding
Detailed Answer:
Hello. The location of the lesion should not be associated to any symptoms at all. It is an incidental finding. There is nothing to worry about. With the MRIs getting done more frequently, incidental findings are getting more frequent as well, like in your case. They are very common and if you do an MRI to 10 random people of your age, some of them will have the same MRI changes. The questions is what to do to these lesions? Generally these lesions are not treated. These are just observed in time, with yearly MRI follow ups, to see if there is any eventual increasing in dimension. The contrast can help on ruling out anything malignant, but in 99% it does not enhance after contrast, confirming its benign nature.
So basically, you better take the trip, and do not condition yourself to an incidental finding, that probably you would never have known if you never had the MRI done.
Hope this helps. Please feel free for further questions.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
OH, thank you so much! I feel so much better. I am a RN, so I should know better than to freak out, but it is so different when it is you this happens to. You have made me feel much better.
Brief Answer:
glad to have helped you
Detailed Answer:
Please feel free using MHC again.
glad to have helped you
Detailed Answer:
Please feel free using MHC again.
Above answer was peer-reviewed by :
Dr. Prasad
So, I also shouldn't be concerned that it says "Also in the differential diagnosis would be a small glial neoplasm." Does this mean that has been ruled out?
The entire study reads:
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.
And the impression I sent earlier.
The entire study reads:
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.
And the impression I sent earlier.
Brief Answer:
Less likely to be a tumor
Detailed Answer:
Hello. The radiologic features are clear towards a prior trauma or ischemia. In the second case you should also follow some tests like neck vessels ultrasound and cardiac ultrasound to find any probable cause responsible for it and decide if you need any treatment ( anti platelet - aspirin).
Due to the features and the location it is very improbable for this lesion being anything else, like tumor.
But you will definitely rule it out after the contrast enhanced MRI after 3 months
Enjoy your trip.
Best regards
Less likely to be a tumor
Detailed Answer:
Hello. The radiologic features are clear towards a prior trauma or ischemia. In the second case you should also follow some tests like neck vessels ultrasound and cardiac ultrasound to find any probable cause responsible for it and decide if you need any treatment ( anti platelet - aspirin).
Due to the features and the location it is very improbable for this lesion being anything else, like tumor.
But you will definitely rule it out after the contrast enhanced MRI after 3 months
Enjoy your trip.
Best regards
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
So, in your opinion, there is no reason I should not travel alone with my 3 year old?
Brief Answer:
absolutely right lady
Detailed Answer:
Hello again.
There is no reason for you to change your plans and your schedules due to an incidental finding. I recommend you not let this finding limit your lifestyle and habbits, otherwise it will become very stressful. I repeat, there is reason to consider it more seriosly that it deserves.
Enjoy yoir trip.
Best regards
absolutely right lady
Detailed Answer:
Hello again.
There is no reason for you to change your plans and your schedules due to an incidental finding. I recommend you not let this finding limit your lifestyle and habbits, otherwise it will become very stressful. I repeat, there is reason to consider it more seriosly that it deserves.
Enjoy yoir trip.
Best regards
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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