Brain MRI Results

[nharris28]

I am a 28/m Recently had a brain mri due to lightheadeness, headaches, feeling off-balance/disequalibrium and disorientated at times. MRI was good except for a 6mm hyperintense focus in the frontal lobe white matter adjacent to the right frontal horn. Whats this mean? Says its of no clinical significance but Ms is possible or stated luekomalacia? Also have a 1.8cm mucous retention cyst in the anteior aspect of the right maxillary sinus. Should i be worried says these are not causing syptoms what else could it be.

                      Thankyou Much

[Sumer K Sethi, MD]

As far as i understand from your query, there is a single focal hyperintense lesion in the frontal lobe which as per your symptoms and imaging findings looks insignificant or could be a result of an old injury, where significance of this lesion is not much now. However, at times this could indicate a demyelinating process like multiple sclerosis which has been kept as a remote differential diagnosis in your report. Leukomalacia could be again a result of an old insult.

Entirely the report suggests nothing to worry about but a follow up (after whatever your treating physician feels appropiate( is advisable just to be on a safer side.

[Sumer K Sethi, MD]

I think these problems can be better dealt by a physician and/or ENT specialist not by a radiologist. MRI per se was done for brain but if there was some mastoiditis or fluid in mastoid it would have shown on MRI.

[nharris28]

Thank you very much for your insight. However do you think this could be an inner ear problem, and would this have shown up on my mri? Also I had a 24 hour holter monitor a week or so ago and it showed palpitations and bpm as low as 33 a resting and it got as high as 130 at some points in the day. It said had condition called sinus tachyardia. plus have high cholesterol and am a smoker. could this be heart related? Was told unlikely but am having other test scheduled. Lastly to sum it up i do suffer from anxiety and excessive worrying could this be my problem. I have had it for a number of years but never the symptoms i am having, Thanks again doctor!