Here are the results of my follow up MRI....I still have all my lesions (about a dozen) and my cavernous hemangioma behind my right eye is stable. I now also have a pineal gland cyst. And 2 new vertebtral hemangiomas in my c-spine.
Any help with knowing if this is MS would be greatly appreciated. I am slowly and steadily getting worse. My follow up appt isn't until May 13th.
"MRI-HEAD WO CONTRAST (#2910151, Final, 04/03/2019 2:24pm)EXAMINATION: MRI-HEAD WO CONTRAST
DATE OF EXAM: 4/3/2019 3:35 PM
DEMOGRAPHICS: 47 years old Female
INDICATION: G35: Multiple sclerosis (HCC) History: Multiple sclerosis .
Number of Series/Images: 9.
COMPARISON: Outside MR from 2/3/2018
TECHNIQUE: Multisequence, multiplanar MRI of the brain was performed without IV contrast.
FINDINGS:
MRI BRAIN:
There are no areas of diffusion restriction to suggest an acute infarct. The pituitary
gland is normal. Cystic pineal gland noted. Cerebellar tonsils are appropriately
positioned.
Mild scattered T2/FLAIR hyperintensities are redemonstrated in the subcortical and
periventricular white matter. These appear stable compared to 2/3/2018. No new lesions
are definitely seen.
Remainder the brain parenchyma appears normal in signal. Ventricles are normal in
size and configuration. No abnormalities are demonstrated within the large intracranial
flow voids. Paranasal sinuses and mastoid air cells are clear.
Stable configuration of the 1.3 x 1.1 cm rounded mass in the retro-orbital fat on
the right. There is mass effect on the optic nerve and extraocular muscles, unchanged
from the prior study.
[IMPRESSION]
1. Stable mild white matter disease compared to 2/23/2018. These remain nonspecific
but are compatible with the reported history of multiple sclerosis. No new lesions
are definitely seen.
2. Similar configuration of the right intraorbital mass.
Any help with knowing if this is MS would be greatly appreciated. I am slowly and steadily getting worse. My follow up appt isn't until May 13th.
"MRI-HEAD WO CONTRAST (#2910151, Final, 04/03/2019 2:24pm)EXAMINATION: MRI-HEAD WO CONTRAST
DATE OF EXAM: 4/3/2019 3:35 PM
DEMOGRAPHICS: 47 years old Female
INDICATION: G35: Multiple sclerosis (HCC) History: Multiple sclerosis .
Number of Series/Images: 9.
COMPARISON: Outside MR from 2/3/2018
TECHNIQUE: Multisequence, multiplanar MRI of the brain was performed without IV contrast.
FINDINGS:
MRI BRAIN:
There are no areas of diffusion restriction to suggest an acute infarct. The pituitary
gland is normal. Cystic pineal gland noted. Cerebellar tonsils are appropriately
positioned.
Mild scattered T2/FLAIR hyperintensities are redemonstrated in the subcortical and
periventricular white matter. These appear stable compared to 2/3/2018. No new lesions
are definitely seen.
Remainder the brain parenchyma appears normal in signal. Ventricles are normal in
size and configuration. No abnormalities are demonstrated within the large intracranial
flow voids. Paranasal sinuses and mastoid air cells are clear.
Stable configuration of the 1.3 x 1.1 cm rounded mass in the retro-orbital fat on
the right. There is mass effect on the optic nerve and extraocular muscles, unchanged
from the prior study.
[IMPRESSION]
1. Stable mild white matter disease compared to 2/23/2018. These remain nonspecific
but are compatible with the reported history of multiple sclerosis. No new lesions
are definitely seen.
2. Similar configuration of the right intraorbital mass.
Comment