Could someone help me read this one

[candy158]

this is my MRI and I don't know how to read it.  Lulu suggested I put in on here and hoping someone will know what it means.

There are numerous ( at least 40) small, ( largest 12 mm in the right parietal subcortical white matter with most smaller) T2/FLAIR hyperintense lesions distributed in the periventricular, deep and subcortical white matter predominantly of the frontal and parioetal and to a lesser extend the temporal lobes bilaterally.  The nmber, size and distriobuition are veryh similar to previous....

[kwarendorf]

Lulu makes a good point (not hard to imagine!). As we age, our bodies tend to suffer a certain amount of natural deterioration. There are mechanical issues, like disc compression, that happen to all of us. These do not necessarily have anything to do with MS. But if they are taking pictures of our spines for MS reasons, these changes will show up on the pics and in the radiologists' reports.

As to SPMS, it was my initial DX. I started on Tysabri right away. Even though it's an "off label" use, it seems to be doing the job. I've had 15 infusions and no relapses and no significan;t progression of my MS.

Kyle

[Lulu54]

Shell got this one as well as I could - but here are my comments about the disc problems- I am getting to believe the older we get the more likely we are  to have disc compression and other spinal problems. we do all the wrong things to our bodies, including being hunched over our computers for hours on end.

Do you see the doc any time soon to review these results? I know they are calling you SPMS but is there an opportunity to back up and try some treatment for you?   Since there are  new lesions and you might be having periods of relapsing, I would discuss that possibility. Although they haven't tested and proved the DMDs work for SPMs, it is the best shot we got right now to control this a bit.

[sllowe]

Layman understanding here....

As compared to your previous imaging (would like to know the date of the last) the 40 small and largest T2s are similar compared to the last report.

They commented on a couple new ones, but then more specifically described three more. They also noted several (can be more than 2 or 3) are less conspicious.

You have reversal, of the natural curve in your neck, it's often documented as straightening, but I would have to research the terms to know for certain if they are indeed one in the same and used interchangeably- I'd guess and say yes. It's very common to lose the natural curve in your neck and lumbar.

You've got disc issues I can relate too - so feel it would be in your best interest to get in with a neruosurgeon (not for surgery!) but, so you can identify what you can do to address what's been said on this report. PT can help, and specific exercises to strengthen the muscles, etc.Moderate effacement they mention, but no indent to the cord. I had moderate mass affect at the time of my attack.

You have a lesion in your spinal cord too but it's not enhancing. Please take my comments as unprofessional - it's my opinion from researching my own issues in the past. Especially where the c-spine discs are concerned.

It still amazes me how many MSers on our forum have c-spine issues. Quite the coincidence, but then again, I don't know how many non-MSers have c-spine issues too. Perhaps it's really not so coincidental if so many people have the same probs.

[sllowe]

This is Candy158s report all on one post...(I copied it from the addtl. two added seperately)

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This is my MRI and I don't know how to read it. Lulu suggested I put in on here and hoping someone will know what it means.

There are numerous ( at least 40) small, ( largest 12 mm in the right parietal subcortical white matter with most smaller) T2/FLAIR hyperintense lesions distributed in the periventricular, deep and subcortical white matter predominantly of the frontal and parioetal and to a lesser extend the temporal lobes bilaterally. The nmber, size and distriobuition are veryh similar to previous....


There are couple of new FLAIR hyperintense lesions including a new 5 mm subcortical lesion in the high anterior frontal lobe., a new or more conspicious ion the left frontal lobe, a a tiny lesion in the left external capsule and a tiny new lesion adjacent to the temporal horn of the left lateral ventricle. Several lesions have gotten slightly less conspicuous in he interval as well. oNo enhancing lesions dected. No lesions with restricted diffusion detected. No posterior fossa lesions identified. There are several small corpus cacallos lesions similar to previous. A tiny lesion in the rostrum is now or more conspicuous compared to the previous however.

Alignment is unchanged with mild reversal of the normal cervical lordosis due to a mild kyphosis around the C4/5 level. Vertebral body heights are well maintained. Mild loss os disc height is seen in the mid to upper cervical spine. Disc bulges at C4/5and C5/6 cause moderate effacement of the anterior CCSF space but do no indent the cord. Mild neural foraminal narriowing is seen on the left at the C5/6 due to posterior/uncovertebral joing osteophyte only. Lesion is identified - the cervical cord is normal and unremarkable with respect to size, controur and signal intensity. No enhancing cord lesion is identified.

-Candy185

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