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Please help with any insight or advice, Multiple Sclerosis

I have had many mri's, lumbar puncture and constant blood work. Below is my latest result. Please if anyone can help me understand.

EXAM:  MRI BRAIN WITHOUT AND WITH CONTRAST

HISTORY:  Multiple sclerosis diagnosed in 2010. Numbness in hands and his neuropathic pain on the left side of the body.

TECHNIQUE: Using a 1.5 Tesla magnet, multiple pulse sequences were obtained before and after intravenous contrast administration.

Contrast: The patient was injected with 13 mL Dotarem.  No reported adverse reactions.

COMPARISON:  Brain MRI 6/6/2014.

FINDINGS:  There is unchanged appearance of focal area of white matter T2 prolongation involving the right centrum semiovale extending to the posterior margins of the right internal and external capsule. Unchanged subtle linear FLAIR signal seen in the left parietal lobe extending to the atrium of the left lateral ventricle, which may represent neuronal migration tract. No new white matter lesions are seen. No evidence of diffusion restriction or abnormal enhancement to suggest active demyelination. No mass, swelling, hemorrhage, or extraaxial collection is seen. No acute or subacute infarct. The structures at the craniocervical junction are unremarkable. The pituitary fossa and the parasellar area have a normal appearance. There are normal flow voids in the major intracranial vascular structures.

There is no abnormal enhancement.

Stable polyp versus cyst in the right nasal cavity. Minimal fluid in the bilateral mastoid air cells unchanged.


IMPRESSION:  No significant change from prior study. Stable T2 hyperintense white matter focus in the right corona radiata. Unchanged linear signal in the left parietal lobe which could represent a neuronal migration track. No evidence of active demyelination.    
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987762 tn?1671273328
COMMUNITY LEADER
Hi and welcome,

I gather you 'may be' questioning if you actually do have MS or not... "I was diagnosed with MS in 2010. Several people in my family have been diagnosed with Lyme. All of my test came back negative including lumber puncture." ....because of having family members being dx with Lyme disease (?)

This latest MRI is only really comparing the one you had in 2014 because you already have been diagnosed with MS,  from my understanding it's basically unchanged, showing no additional lesions and no old or new enhancement demonstrating you weren't under attack when you had the MRI run.    

Unfortunately or fortunately depending on how you wish to look at it, MS is diagnosed by more than just the patients brain MRI evidence, i would expect that back in 2010 and since, your 'collective' evidence is consistent with MS and you don't actually have the alternative diagnostic evidence pointing away from MS as the more likely causation. Sorry but that's all i can think of at the moment, hopefully someone else can provide you with more..

Hope that helps....JJ
  
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