Confused of MS diagnosis

[Devas]

Hi,

Reading MS report and confused about the conclusion:

"At least 7 focal white matter lesions are scattered throughout the blah blah..fulfilling McDonald criteria for MS....
However there is no contrast enhancement of these lesions to confirm a newly developed lesion or previous imaging available for comparison to confirm dissemination in time. Clinical review and ongoing imaging follow up therefore is recommended to further confirm the suspected diagnosis of MS"

Now does this mean docs are not 100% certain of MS diagnosis? In hospital the neurologist said he was 100% certain of RSRM MS..now after reading this I am confused. Only 1 episode occurred and will be starting the Gilenya medication soon.

Anyone had this on their reports?

[MarkLavelle]

"[...] there is no contrast enhancement of these lesions to confirm a newly developed lesion or previous imaging available for comparison to confirm dissemination in time. Clinical review and ongoing imaging follow up therefore is recommended to further confirm the suspected diagnosis of MS"

This is a small hedge on the part of the author, but it doesn't change the dx.

If MRI was the only evidence, this would be a way of saying they can't verify that you've had multiple exacerbations. That's because a single scan can't verify multiple exacerbations (separated in time) without some of the lesions enhancing and some not (active and non-active/old). But a clinical history of likely MS events (separated in time) is enough to clinch it...