Aa
Initial Radiology Report from MRI
MR Brain w/o contrast
IMPRESSION: 1. INCREASED WHITE SIGNAL IN THE PERIATRIAL WHITE MATTER ON THE RIGHT. THIS IS A NONSPECIFIC FINDING. IN A PATIENT THIS AGE.IT COULD BE A DEMYELINATING PROCESS OR AVASCULITIS. SMALL VESSEL ISCHEMIC DISEASE IS CONSIDERED LESS LIKELY IN A PATIENT OF THIS AGE.
2. SIGNAL VOID ADJACENT TO THE JUXTASELLAR/SUPRACLINOID ICAS BILATERALLY MOST LIKELY RELATED TO PNEUMATIZATION OF THE ANTERIOR CLINOID PROCESSES RATHER THAN AN ANEURYSM. AM MRA MAY BE HELPFUL FOR FURTHER EVALUATION AS CLINICALLY DIRECTED.
3. FINDINGS COMPATIBLE WITH THE CLINICAL DIAGNOSIS OF BILATERAL MAXILLARY SINUSITIS.
HISTORY: Mild Headache with double vision.
TECHNIQUE: Routine headache protocol.
FINDINGS. There is a area of increased signal on the T2 and FLAIR images in the white matter of the periatrail region on the right measuring approx. 7x3 mm in size. This is oval in configuration and oriented perpendicular to the long axis of the lateral ventricle. No other areas of abnormal signal are identified. There is no evidence of a intracranial mass or an abnormal extra-axial fluid collection. The ventricles are normal in size and configuration.
There are oval areas of signal ovoid adjacent to the juxtasellar/supraclinoid portion of the internal carotid arteries bilaterally. This is not associated with a flow related artifact. It most likely reflects areas of pneumatization in the anterior clinoid processes. Aneurysms are considered less likely, however, an MRA is suggested for further evaluation if clinically warranted. There is mucosal thickening in the maxillary sinuses bilaterally. Greater on the right.
Feb 10 1997~ No change with more current MRI
If any one has any suggestions, please advise. Thanks.
This is the original report from the first MRI, that I had done. It has not changed.Has been done with contrast also, with no changes.
IMPRESSION: 1. INCREASED WHITE SIGNAL IN THE PERIATRIAL WHITE MATTER ON THE RIGHT. THIS IS A NONSPECIFIC FINDING. IN A PATIENT THIS AGE.IT COULD BE A DEMYELINATING PROCESS OR AVASCULITIS. SMALL VESSEL ISCHEMIC DISEASE IS CONSIDERED LESS LIKELY IN A PATIENT OF THIS AGE.
2. SIGNAL VOID ADJACENT TO THE JUXTASELLAR/SUPRACLINOID ICAS BILATERALLY MOST LIKELY RELATED TO PNEUMATIZATION OF THE ANTERIOR CLINOID PROCESSES RATHER THAN AN ANEURYSM. AM MRA MAY BE HELPFUL FOR FURTHER EVALUATION AS CLINICALLY DIRECTED.
3. FINDINGS COMPATIBLE WITH THE CLINICAL DIAGNOSIS OF BILATERAL MAXILLARY SINUSITIS.
HISTORY: Mild Headache with double vision.
TECHNIQUE: Routine headache protocol.
FINDINGS. There is a area of increased signal on the T2 and FLAIR images in the white matter of the periatrail region on the right measuring approx. 7x3 mm in size. This is oval in configuration and oriented perpendicular to the long axis of the lateral ventricle. No other areas of abnormal signal are identified. There is no evidence of a intracranial mass or an abnormal extra-axial fluid collection. The ventricles are normal in size and configuration.
There are oval areas of signal ovoid adjacent to the juxtasellar/supraclinoid portion of the internal carotid arteries bilaterally. This is not associated with a flow related artifact. It most likely reflects areas of pneumatization in the anterior clinoid processes. Aneurysms are considered less likely, however, an MRA is suggested for further evaluation if clinically warranted. There is mucosal thickening in the maxillary sinuses bilaterally. Greater on the right.
Feb 10 1997~ No change with more current MRI
If any one has any suggestions, please advise. Thanks.
This is the original report from the first MRI, that I had done. It has not changed.Has been done with contrast also, with no changes.
I have a gmail account with the user name maynard77. You can email me through that. If you don't understand what the address is I'll repost.
Wanna
Wanna
"What does you doctor say about this report? "
Initially, they thought MS. After time with no change, they are rethinking this. I just don't understand why they waited so long and how they can let someones health deteriorate so quickly, and do nothing. They are testing for other things, but they are also running more tests that are usually done to Dx MS. So my answer to you, is I dunno.
Initially, they thought MS. After time with no change, they are rethinking this. I just don't understand why they waited so long and how they can let someones health deteriorate so quickly, and do nothing. They are testing for other things, but they are also running more tests that are usually done to Dx MS. So my answer to you, is I dunno.
I apologize for not getting back to you. I have recently made the decision to change Docs. Would you mind giving me your email address again???
Thank you.
Thank you.
In a previous post you asked me for my neuro's name and I gave you an email address you could use to reach me, but I have not heard from you. Did you find a neruo you are happy with?
Wanna
Wanna
Thanks for your replies. I am so frustrated with all of this. I was wondering if an MRI of the thoracic spine would be warranted considering the problems with incontinence and leg weakness and numbness and tingling issues?? I have never had a T-spine done. At this point I have had everything else. I went ahead and had the labs redone at the Cleveland Clinic, but after that visit from hell with the Optha-neurologist. I am beginning to question their expertise and professionalism. What a nightmare that was. Thank you all. I will be so glad to get some kind of Dx. I need my life back!!!
sounds like there has been just one lesion in a location and shape suggesting demyelination (as in MS) but no change other than that in the last 10 years. Being unchanged, it could also be a non-specific scar from something else - vasculitis is suggested. Boy, it's not very helpful.
However the areas of "signal void" maybe be indicating areas which are sometimes referred to as "black holes." These may be indicative of old scars which have be reabsorbed by the body and signify areas of brain loss. I'm not sure of this. You should definitely ask your neurologist if these could be reabsorbed lesions of demyelination. Certainly this could account for a lot of your symptoms. One thing that needs to be stated is there any suggestion on the newer MRI of loss of brain volume!?
Make sure someone addresses this possiblility, even if they say it is hogwash, lol. Areas of "signal Void" are NOT normal! Quix
However the areas of "signal void" maybe be indicating areas which are sometimes referred to as "black holes." These may be indicative of old scars which have be reabsorbed by the body and signify areas of brain loss. I'm not sure of this. You should definitely ask your neurologist if these could be reabsorbed lesions of demyelination. Certainly this could account for a lot of your symptoms. One thing that needs to be stated is there any suggestion on the newer MRI of loss of brain volume!?
Make sure someone addresses this possiblility, even if they say it is hogwash, lol. Areas of "signal Void" are NOT normal! Quix
Hi, Sugar~
It's after 4:00 here in Michigan, which means my brain is mush. Yes, that's the medical term, mush. Quix wrote a great post regarding the T's and FLAIRs. It may help you decipher your report. I am at this time of no help to you whatsoever. I hope you're feeling weel, however. Hope THAT helps : ) !
Good luck, and perhaps someone will be alomg to interpret soon....
Momzilla*
It's after 4:00 here in Michigan, which means my brain is mush. Yes, that's the medical term, mush. Quix wrote a great post regarding the T's and FLAIRs. It may help you decipher your report. I am at this time of no help to you whatsoever. I hope you're feeling weel, however. Hope THAT helps : ) !
Good luck, and perhaps someone will be alomg to interpret soon....
Momzilla*
I feel really bad that I cannot help you. I don't really understand what is written (too many medical terms outside of my vocabulary). Hopefully someone will come along and be able to decipher this to you.
Corinne
Corinne
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