Hi,
Thank you for posting your query.
White spots on MRI (also called as hyperintense lesions) are not specific for multiple
sclerosis (MS). These lesions can occur in other neurological conditions including
migraine, infections,
stroke, etc.
Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS.
Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS.
However, with just two lesions, and normal spinal tap, MS is unlikely.
I hope it helps.
Please get back if you require any additional information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/