Thanks for taking the time to read my post... I am currently waiting another MRI ordered by the MS specialist. My first MRI was ordered reluctantly from a Neuro that I called who diagnosed my carpal tunnel issues.. At that appointment he diagnosed me as having essential tremors. he tested my thyroid which was fine. When I called for my MRI results he told me that it was as he expected "ageing" I am 45 and some spots due to smoking. I got a call that same day from the MS Neuro that I had requested my GP refer me to, telling me I had an appointment that was 2 days later. Well I had to see the MRI results for myself. So I went and picked up the results and the disc.
Findings:
No hemorrhage, mass effect, or mass lesion. Ventricles appear within the normal range.
There are a few foci of increase signal within the white matter of the frontal and parietal lobes mostly on the left with the 2 most prevalent within the anterior parietal lobe on the left. The majority of these show no diffusion restriction on the diffusion weighted images although one of the more prevalent lesions within the white matter of the anterior parietal lobe does show diffusion restriction on the diffusion weighted images and is suspicious for a small acute or subacute microvascular infarct versus what could represent a small active plaque as seen in Multiple sclerosis. This does not again show any contrast enhancement, however, on the post contrast images which is often seen of an active plaque.
No other foci of diffusion restriction are identified. No abnormal enhancing structures are identified on the postcontrast images. The substatia nigra within the normal range bilaterally.
There is mild patchy bilateral ethmoidal chronic sinusitis present.
IMPRESSION:
Several foci of increased signal within the deeper white matter mostly within the frontal and parietal lobes bi-laterally left greater than right. Most of these areas do not appear active although there is one more prevalent focus within the anterior parietal lobe on the left which does show diffusion restriction but no contrast enhancement. This could represent a small acute or subacute microvascular infarct or the other possibility is this could represent a small active plaque as seen in Multiple Sclerosis although this does not contrast enhance with active MS plaques typically enhancing. this small lesion should be handled clinically. All of these foci should be handled clinically.
The Neuro who ordered the Mri also told me that there was no treatment needed and that if my tremors got too bad come back and he can put me on meds for that. ( I went because of the tremors that were bad enough among a whole list of symptoms). He never even said I have mild chronic sinusitis!!!! OK so I took these results to the MS Neuro I tried to make sure to get all my symptoms in...I know I forgot some... and after reading the results she has ordered another MRI (one that is more powerful). She also sent me for my b-12 to be checked. I asked as I was leaving if I had MS and she said it looks as if you just may...OK... so I go to my GP and went over the MRI and a sleep test I had done. She insisted I begin taking a statin drug... she said that we did not need to wait for the next MRI we needed to treat this as if I were having mini strokes. She then tells me that it is also likely that if it is strokes I could wind up with Dentia. She has also ordered I get an ultra sound of my arteries in my neck... so... that is tomorrow... anyways that is where I am at in limbo land...
What could this be??
Findings:
No hemorrhage, mass effect, or mass lesion. Ventricles appear within the normal range.
There are a few foci of increase signal within the white matter of the frontal and parietal lobes mostly on the left with the 2 most prevalent within the anterior parietal lobe on the left. The majority of these show no diffusion restriction on the diffusion weighted images although one of the more prevalent lesions within the white matter of the anterior parietal lobe does show diffusion restriction on the diffusion weighted images and is suspicious for a small acute or subacute microvascular infarct versus what could represent a small active plaque as seen in Multiple sclerosis. This does not again show any contrast enhancement, however, on the post contrast images which is often seen of an active plaque.
No other foci of diffusion restriction are identified. No abnormal enhancing structures are identified on the postcontrast images. The substatia nigra within the normal range bilaterally.
There is mild patchy bilateral ethmoidal chronic sinusitis present.
IMPRESSION:
Several foci of increased signal within the deeper white matter mostly within the frontal and parietal lobes bi-laterally left greater than right. Most of these areas do not appear active although there is one more prevalent focus within the anterior parietal lobe on the left which does show diffusion restriction but no contrast enhancement. This could represent a small acute or subacute microvascular infarct or the other possibility is this could represent a small active plaque as seen in Multiple Sclerosis although this does not contrast enhance with active MS plaques typically enhancing. this small lesion should be handled clinically. All of these foci should be handled clinically.
The Neuro who ordered the Mri also told me that there was no treatment needed and that if my tremors got too bad come back and he can put me on meds for that. ( I went because of the tremors that were bad enough among a whole list of symptoms). He never even said I have mild chronic sinusitis!!!! OK so I took these results to the MS Neuro I tried to make sure to get all my symptoms in...I know I forgot some... and after reading the results she has ordered another MRI (one that is more powerful). She also sent me for my b-12 to be checked. I asked as I was leaving if I had MS and she said it looks as if you just may...OK... so I go to my GP and went over the MRI and a sleep test I had done. She insisted I begin taking a statin drug... she said that we did not need to wait for the next MRI we needed to treat this as if I were having mini strokes. She then tells me that it is also likely that if it is strokes I could wind up with Dentia. She has also ordered I get an ultra sound of my arteries in my neck... so... that is tomorrow... anyways that is where I am at in limbo land...
What could this be??