Hi, from my understanding the things your concerned about wouldn't usually be classed as abnormal because they are typically incidental MRI finding generally without clinical significance ie a small amount of fluid signal in the mastoid air cells, mild left anterior hippocampal malrotation which can be an anatomic variant and "tiny" foci are usually ishaemic micro vascular white matter changes ...
Keep in mind IF your main concern is that your symptoms could be caused by a neurological condition like MS, these types of Brain MRI findings wouldn't be suggestive so it's highly likely that you are dealing with something else.
Hope that helps.....JJ
Hello Houston77. As I understand, you’re trying to find the cause of dizziness. If that’s your only symptom, given this MRI result it’s far too early to think that MS might be the cause. Dizziness isn’t usually the first symptom to show up, but more important is the language used in your MRI report. In MS the myelin coating on nerves is attacked, resulting in scarring, called lesions, that shows up on MRI images. A radiologist would normally use the words demyelinating and/or lesions to signal that MS or a similar disease was present. There’s no such language in your report. The only thing that even comes close is “indeterminate tiny scattered foci of FLAIR hyperintensity.” FLAIR is a type of MRI scan and hyperintensity refers to bright spots (“foci”). But the key word is “indeterminate,” which probably means the spots didn’t resemble any known type of abnormality related to neurological conditions. Of course this is subject to what your doctors say. Also it’s not meant to trivialize your dizzy spells and you should continue searching for the cause, and treatment if necessary. Good luck!