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What dose this MRI report indicate?

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Neurologist, Surgical
Practicing since : 2004
Answered : 2872 Questions
Question
I had an MRI W/o contrast three years ago and it foundscattered white matter flairhyperintensities indicating a demyelinating processes such as inflammatory, infectious and vascultic- just had mri w and w/o contrast found multiple nodules of demyelinization of the deep whit matter and could indicate demyelinating disease like MS but neurologist who reviewed it said small chance MS but I have very disturbing issues such as numbness tingling on left side-week foot and hand - I also just got blood test shows thyroid peroxidase antibodies 195H - I do have hypothyroid -confused need guidance
Wed, 9 May 2018 in Brain and Spine
 
 
Answered by Dr. Erion Spaho 18 minutes later
Brief Answer:
A cerebrospinal fluid examination may be necessary.

Detailed Answer:
Hello and thanks for using HealthcareMagic.

I have read your question and reviewed the attached report. I can understand your concerns.

Both MRI findings are suggestive of conditions such as multiple sclerosis.

In addition, thyroid peroxidase antibodies indicate that there's may be an autoimmune disorder active, even if these antibodies can't be related directly to MS.

Clinical and neurological features of MS show a relapsing/remitting fashion, this should be evaluated carefully by your Neurologist.

If in doubt about the diagnosis after MRI results and neurological evaluation, lumbar puncture (spinal tap) and cerebrospinal fluid examination about oligoclonal bands may be necessary to confirm or exclude MS.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.

Above answer was peer-reviewed by
 
Follow-up: What dose this MRI report indicate? 33 minutes later
Does thyroid peroxidase antibodies usually indicate autoimmune disease relating to thyroid like hashimotos thyroidis because TSH 1.25 and T4 free is .9 and T3 2.4
 
 
Answered by Dr. Erion Spaho 56 minutes later
Brief Answer:
Yes.

Detailed Answer:
Welcome back.

Hashimoto's thyroiditis is actually an autoimmune disease and these antibodies may be found increased in such cases.

Hope this helps.

In good health.
Above answer was peer-reviewed by
 
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