MRI Results
Posted: Sun Nov 24, 2013 5:27 pm
I finally got my MRI results back after I was hospitalized for inability to urinate and blood in the urine.
Turns out I do not have a brain tumor. I do have lesions on my brain but due to their location they can not be diagnosed as MS. I have 9 or less lesions in my white matter (the largest 0.5 cm, so not large at all).
I am going to get a copy of the MRI images and post the pictures here to get your guys take on my lesions. The doctor said my symptoms sound typical of MS but it will not be diagnosed based on the location of the brain lesions based on Barkhof's MS Criteria.
So here are the actual results.
TECHNIQUE:
The study was preformed according to the rule out MS protocol, which includes 3-D FLAIR sequences. In addition, a high-resolution coronal inversion from sequence through the orbits was preformed. There are no previous.
FINDINGS:
The Sagittal midline structures, including the sella turcica and corpus callousum, are normal. The cerebellar tonsils are in appropriate position. The diffusion-weighted sequence shows no acute infarction.
Best seen on the 3-D FLAIR sequence, there are three tiny foci of hyperintensity within the peripheral white matter of the right lateral orbital gyrus and inferior front gyrus. The largest such lesion measures 0.5 cm. There are a few similar tiny lesions within the peripheral white matter of the left inferior frontal gyrus, measuring up to 0.3 cm. In total there are 9 or fewer lesions. There are no discrete periventricular white matter lesions. These is no involvement of the brainstem or cerebellum.
Background parenchymal volume is normal. There is no mass effect, hydrocephalus, or extra-axial fluid collection.
The orbits are normal, including normal signal intensity within the optic nerves. There is no proptosis. The extraocular muscles are normal in size, and the retrobulbar fat appears of normal volume, with no imaging findings of thyroid orbitopathy.
The major intracranial vessels demonstrate normal flow-voids.
IMPRESSION:
There is very minimal bilateral frontal white matter disease as described above. The imaging findings do not fulfill Barkhof's MR imaging criteria for demyelination. However, white matter disease would be atypical given the patient's young age of 18 years. Differential diagnosis include sequelae of remote trauma or infection. Migraine can also be caused by similar appearing white matter lesions. Clinical correlation is required. Follow up MRI study in approximately 6 months' time is recommended to ensure long-term stability.
So do you guys have any thoughts, I'm kind of still trying to decipher the medical terminology and apply it to what's going on. The ER physician said that for now I am diagnosed with White Matter Disease that was diagnosed by who ever analyzed my MRI. She didn't explain much about it so I'm off to my family doc then off to a neurologist to understand what's going on.
I'm glad that it is no tumor and it is not typical of MS yet but I just want to know what's wrong so I can fix it haha.
Turns out I do not have a brain tumor. I do have lesions on my brain but due to their location they can not be diagnosed as MS. I have 9 or less lesions in my white matter (the largest 0.5 cm, so not large at all).
I am going to get a copy of the MRI images and post the pictures here to get your guys take on my lesions. The doctor said my symptoms sound typical of MS but it will not be diagnosed based on the location of the brain lesions based on Barkhof's MS Criteria.
So here are the actual results.
TECHNIQUE:
The study was preformed according to the rule out MS protocol, which includes 3-D FLAIR sequences. In addition, a high-resolution coronal inversion from sequence through the orbits was preformed. There are no previous.
FINDINGS:
The Sagittal midline structures, including the sella turcica and corpus callousum, are normal. The cerebellar tonsils are in appropriate position. The diffusion-weighted sequence shows no acute infarction.
Best seen on the 3-D FLAIR sequence, there are three tiny foci of hyperintensity within the peripheral white matter of the right lateral orbital gyrus and inferior front gyrus. The largest such lesion measures 0.5 cm. There are a few similar tiny lesions within the peripheral white matter of the left inferior frontal gyrus, measuring up to 0.3 cm. In total there are 9 or fewer lesions. There are no discrete periventricular white matter lesions. These is no involvement of the brainstem or cerebellum.
Background parenchymal volume is normal. There is no mass effect, hydrocephalus, or extra-axial fluid collection.
The orbits are normal, including normal signal intensity within the optic nerves. There is no proptosis. The extraocular muscles are normal in size, and the retrobulbar fat appears of normal volume, with no imaging findings of thyroid orbitopathy.
The major intracranial vessels demonstrate normal flow-voids.
IMPRESSION:
There is very minimal bilateral frontal white matter disease as described above. The imaging findings do not fulfill Barkhof's MR imaging criteria for demyelination. However, white matter disease would be atypical given the patient's young age of 18 years. Differential diagnosis include sequelae of remote trauma or infection. Migraine can also be caused by similar appearing white matter lesions. Clinical correlation is required. Follow up MRI study in approximately 6 months' time is recommended to ensure long-term stability.
So do you guys have any thoughts, I'm kind of still trying to decipher the medical terminology and apply it to what's going on. The ER physician said that for now I am diagnosed with White Matter Disease that was diagnosed by who ever analyzed my MRI. She didn't explain much about it so I'm off to my family doc then off to a neurologist to understand what's going on.
I'm glad that it is no tumor and it is not typical of MS yet but I just want to know what's wrong so I can fix it haha.