I am so happy I found this forum! I just wish I had found it sooner! I have an appointment in a couple of days and I am just looking for a little advice for when I see my new Dr. and a little help reading my MRI results. A little history on me, I am 44 yo male. I first went to see my regular Dr. to see if he could tell my why my upper body and arms went numb and vibrated when I tilted my head forward. He didn't know of anything so he consulted a Neuro on the phone. The Neuro ordered an MRI of the C-Spine. That MRI came back with an intramadulary mass/lesion at c2-c3. Dr ordered new MRI of C-spine and brain with and without contrast. These are the highlights of the new MRI report.
Brain:
Multiple, approximately 7-10, small supratentorial T2 hyperintensewhite matter lesions. One of these lesions is situated along thecallosal septal interface of the posterior body of the corpuscallosum. Several of these lesions are periventricular in locationand oriented perpendicular to the ventricular margins withdistribution suggestive of demyelinating disease. Remaininglesions are small and periventricular in location but arenonspecific.There is a small T2 hyperintense lesion involving the left ventral surface of the pons suspicious for demyelinating disease. Noabnormal enhancement to suggest active demyelination/inflammation.
** IMPRESSION **:
1. Multiple, approximately 7-10, small supratentorial T2hyperintense white matter lesions and single infratentorial lesioninvolving the left ventral pons. Multiple of these lesions havedistribution suggestive of chronic demyelinating disease asdescribed above.
C-spine:
Spinal cord: Redemonstration of the short segment T2 hyperintenseintramedullary lesion involving the bilateral dorsal columns atthe C2-C3 level. This measures 10 mm in longitudinal length and 3x 5 mm transaxially is not significantly changed in size comparedto the recent prior noncontrast cervical spine MRI from 07/01/15. No abnormal enhancement is associated with this lesion on thepostcontrast sequences. Remainder of the cervical spinal cord hasnormal volume and signal intensity. No abnormal intrathecalenhancement.
** IMPRESSION **:
Short segment intramedullary T2 hyperintense lesion involving thebilateral dorsal columns of the spinal cord at the C2-C3 levelwhich does not demonstrate abnormal enhancement or significantchange compared to 07/31/15. This could represent a demyelinatingor inflammatory lesion.
So I have read up on demyelinating disease which of course leads to MS as the most likely cause, I am looking for any advice on questions I should ask my Dr. This has all come a bit out of nowhere since I have not had any of the traditional MS symptoms. I just want to go in as well armed as I can. I have never had any major heath issues that were not self induced so this is the "most important" appointment I have had. Any help or advice is greatly appreciated!
Mark
Brain:
Multiple, approximately 7-10, small supratentorial T2 hyperintensewhite matter lesions. One of these lesions is situated along thecallosal septal interface of the posterior body of the corpuscallosum. Several of these lesions are periventricular in locationand oriented perpendicular to the ventricular margins withdistribution suggestive of demyelinating disease. Remaininglesions are small and periventricular in location but arenonspecific.There is a small T2 hyperintense lesion involving the left ventral surface of the pons suspicious for demyelinating disease. Noabnormal enhancement to suggest active demyelination/inflammation.
** IMPRESSION **:
1. Multiple, approximately 7-10, small supratentorial T2hyperintense white matter lesions and single infratentorial lesioninvolving the left ventral pons. Multiple of these lesions havedistribution suggestive of chronic demyelinating disease asdescribed above.
C-spine:
Spinal cord: Redemonstration of the short segment T2 hyperintenseintramedullary lesion involving the bilateral dorsal columns atthe C2-C3 level. This measures 10 mm in longitudinal length and 3x 5 mm transaxially is not significantly changed in size comparedto the recent prior noncontrast cervical spine MRI from 07/01/15. No abnormal enhancement is associated with this lesion on thepostcontrast sequences. Remainder of the cervical spinal cord hasnormal volume and signal intensity. No abnormal intrathecalenhancement.
** IMPRESSION **:
Short segment intramedullary T2 hyperintense lesion involving thebilateral dorsal columns of the spinal cord at the C2-C3 levelwhich does not demonstrate abnormal enhancement or significantchange compared to 07/31/15. This could represent a demyelinatingor inflammatory lesion.
So I have read up on demyelinating disease which of course leads to MS as the most likely cause, I am looking for any advice on questions I should ask my Dr. This has all come a bit out of nowhere since I have not had any of the traditional MS symptoms. I just want to go in as well armed as I can. I have never had any major heath issues that were not self induced so this is the "most important" appointment I have had. Any help or advice is greatly appreciated!
Mark
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