MRI Radiology Results: Please help if you can!

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SarahO
New Member


Date Joined Apr 2016
Total Posts : 3
   Posted 4/28/2016 1:19 PM (GMT -6)   
Hello,

I've been struggling with several MS symptoms (ie: my legs are in terrible shape, my arms are very weak, numbness, tingling, bladder and bowl problems etc) for about a year and a half. I have been tested for all kinds of things like RA, lupus, Sjornes but everything is fine.

I just got a tesla 3 brain MRI and I need some help understanding the radiologists report. If you can help me I would appreciate it more than you know. I am truly at wits end.

PS I've also had a lumbar puncture which came out okay too.
-------------------------

Redemonstration of a few T2 signal abnormalities with corresponding
decreased T1 signal involving the deep cerebral white matter.
Additional lesion involving the juxtacortical white matter of the
left frontal gyrus. No associated abnormal diffusion restriction. No
infratentorial lesions. No new lesions.

No evidence of acute infarct. Midline structures are unremarkable.
Normal size and configuration of ventricles and subarachnoid spaces.
Orbits are unremarkable. Paranasal sinuses are clear. Right-sided
mastoid effusion, unchanged. Major intracranial flow voids are
preserved.

Impression
IMPRESSION:

Multiple deep and a single juxtacortical supratentorial white matter
lesions. No new lesions or periventricular lesions or posterior fossa
lesions. The distribution and imaging appearance are atypical for
multiple sclerosis. Overall the disease burden is mild.

Post Edited (SarahO) : 4/29/2016 11:31:06 AM (GMT-6)


Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3565
   Posted 4/29/2016 7:10 AM (GMT -6)   
It seems pretty clear. The radiologist feels that your lesions do not appear to be typical for size and placement of MS lesions. Do you have migraines? Could you have been exposed to Lyme disease?

What does your doctor say? You may want to get a second opinion. You could ask to see a neurologist who specializes in MS.

Always keep copies of your MRI reports and a copy of the disk itself. Bring those to any appointments you have.
Diagnosed with MS July 2006

I have no lesions on my soul and so I live with no limits.

SarahO
New Member


Date Joined Apr 2016
Total Posts : 3
   Posted 4/29/2016 11:24 AM (GMT -6)   
Thank you for your reply Gretchen.

I don't have migraines at all. I do get ice pick headaches from time to time but they only last a few seconds at most and disappear. I've been tested for Lyme three times so I'm pretty sure it's not Lyme disease either.

Currently, I am seeing an MS specialist who is stumped by the location of my lesions, yet my body functions like that of a person with MS. I am beyond frustrated and have no idea what else it could be.

ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1197
   Posted 4/29/2016 8:28 PM (GMT -6)   
hi,
my brain mri is atypical also. but i have lesions galore in my cervical and thoracic spine. my symptoms are similar to yours.
your symptoms are also consistant with cervical spinal stenosis.

SarahO
New Member


Date Joined Apr 2016
Total Posts : 3
   Posted 4/30/2016 1:34 PM (GMT -6)   
Thank you for replying, PPM.

I did have a thoracic and full spinal MRI last year. Both were done horribly according to all the doctors that looked at them. The MS Specialist saw what he called a "lesion or two" in my cervical spine, but only saw them on my brain MRI. On the spine MRI they noted that I have a bulging disc in my lower back, but told me specifically it was nothing to worry about and was due to old age. (I'm not that old! lol) They said it wasn't intruding on my spinal cavity so they said there was nothing to be alarmed about.

One doctor said "myelopathy", but the MS specialist disagreed. He said it doesn't explain the lesions I have in my brain either nor does it explain my symptoms completely (ie: right before my legs went bad, I had serious facial pain on one side of my head, my fight with fatigue etc).

Do you think it would be beneficial to get the telsa 3 MRI on my spine? Will it show lesions with more clarity if I have them in my spine? I know they will do it correctly this time, but I"m not sure if it will be worth it to get done.

I'm grasping at straws I think and just want to know why I've gone down hill so quickly, regardless of the name of it.

I want my old life back too.

Thank you for your help. It's truly appreciated.

Post Edited (SarahO) : 4/30/2016 1:37:19 PM (GMT-6)


ppm guy
Veteran Member


Date Joined Apr 2010
Total Posts : 1197
   Posted 5/30/2016 11:05 AM (GMT -6)   
hi sarah,
your sxs; weakness, numbness, tingling, bladder and bowel control are in line with spinal cord injury. facial pain(one sided) and fatigue are also MS symptoms.

A better set of scans would be helpful. you deserve that much..
good luck
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