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41yo Male. First let’s talk about my medical history. I have low heart rate, high blood pressure, non alcoholic fatty liver, 4 back surgeries, low Testosterone, headaches, pain behind my eye, Sometimes blurry vision in one eye, pain down my legs, memory problems (even remembering my best friends name) 3 years ago I had a mri done and was told they did not see any lesions. I started talking to my PCP and asked for a second opinion. He agreed and I will see a neurologist Oct 20. I decided to pull up my old mri and saw white spots on my mri. https://ibb.co/dzYmSU Am I off my rocker thinking this is MS

Rishstev wrote:41yo Male. First let’s talk about my medical history. I have low heart rate, high blood pressure, non alcoholic fatty liver, 4 back surgeries, low Testosterone, headaches, pain behind my eye, Sometimes blurry vision in one eye, pain down my legs, memory problems (even remembering my best friends name) 3 years ago I had a mri done and was told they did not see any lesions. I started talking to my PCP and asked for a second opinion. He agreed and I will see a neurologist Oct 20. I decided to pull up my old mri and saw white spots on my mri. https://ibb.co/dzYmSU Am I off my rocker thinking this is MS

Welcome to ThisIsMS Rishtev. Although I'm by no means an expert in reviewing MRI images, I believe that the white spots you're seeing in your image may be the gadolinium contrast in the veins and arterioles of the brain. The Radiopaedia.org site has many case studies of MS patients available to view. You could compare your images to some of these. For example, here's an axial T2 slice from an "almost certain" MS diagnosis. This is an image without contrast, but note the white spots scattered through the image slice (ignoring, of course, the white looking M shape in the middle of the image which are the ventricles). White spots such as these represent the more typical lesions that I would expect to see in an MS patient.

NHE wrote:Welcome to ThisIsMS Rishtev. Although I'm by no means an expert in reviewing MRI images, I believe that the white spots you're seeing in your image may be the gadolinium contrast in the veins and arterioles of the brain. The Radiopaedia.org site has many case studies of MS patients available to view. You could compare your images to some of these. For example, here's an axial T2 slice from an "almost certain" MS diagnosis. This is an image without contrast, but note the white spots scattered through the image slice (ignoring, of course, the white looking M shape in the middle of the image which are the ventricles). White spots such as these represent the more typical lesions that I would expect to see in an MS patient.

NHE, thanks for your response I do value any help from my peers. I went back to my images the MRI was done W/O contrast. I did look up other images and did find one that looked identical to mine that stated this person did have MS. However what I have noticed is MS can presents itself differently in different people.

Here are 2 more images from the same MRI. https://ibb.co/bDm549
https://ibb.co/nkik49

Rishstev wrote:Here are 2 more images from the same MRI. https://ibb.co/bDm549
https://ibb.co/nkik49

I am almost certain that the images you have posted are with gadolinium contrast. The thin white curving lines are most likely the contrast within the brain's vasculature.

Please see the following image from the Radiopaedia site for comparison. It's a T1 axial image with contrast.

hi there any referrals to any preventive professionals? registered dietitian or similar?

symptom list is suggestive of lifestyle contributors to chronic illness

low heart rate sounds like electrolytes would be worth a look

same for high blood pressure (including serum magnesium and dietary mag intake). magnesium could also be worth a try re headaches (in diet first, and if necessary follow up only with a high quality supplemental form). leg pain (muscle? bone? both??) also suggests magnesium issues, maybe vitamin d3 as well

zinc status (serum and dietary zinc intake) might be worth a look in where non alcoholic fatty liver, low Testosterone and memory are concerned. maybe even eye issues too.

• Evaluation of Plasma Trace Elements in Different Stages of Nonalcoholic Fatty Liver Disease (2018)
  https://link.springer.com/article/10.10 ... 018-1432-9
  
  "Inductively coupled plasma mass spectrometry (ICP-MS) was employed for the determination of As, Ba, Cd, Co, Cs, Cu, Fe, Rb, Sr, Tl, and Zn in the plasma of 189 free-living residents of Athens, Greece, either healthy or patients with mild, moderate, or severe NAFLD. ... Zinc exhibited a statistically significant negative association with the severity of the disease, while cesium showed a statistically significant positive association."

• Effects of Zinc supplementation on serum lipids: a systematic review and meta-analysis (2015)
  https://nutritionandmetabolism.biomedce ... 015-0023-4
  
  "In conclusion, Zinc supplementation has favourable effects on plasma lipid parameters. Zinc supplementation significantly reduced total cholesterol, LDL cholesterol and triglycerides."

• Zinc and glycemic control: A meta-analysis of randomised placebo controlled supplementation trials in humans (2013)
  https://www.sciencedirect.com/science/a ... 2X12001204
  
  "The significant albeit modest reduction in glucose concentrations and tendency for a decrease in HbA1c following zinc supplementation suggest that zinc may contribute to the management of hyperglycemia in individuals with chronic metabolic disease."

blurry vision in one eye could be ON among other things, overall there are nutrient issues to be ruled out in the vision dept if you can

what's the back story (editing to add no pun intended ugh) on the 4 back surgeries?

jimmylegs wrote:zinc status (serum and dietary zinc intake) might be worth a look in where non alcoholic fatty liver

I would suspect a diet high in processed foods and high in sugar as per Dr. Robert Lustig.

Please see...

• Sugar, the bitter truth.
  
  

NHE wrote:

jimmylegs wrote:zinc status (serum and dietary zinc intake) might be worth a look in where non alcoholic fatty liver

I would suspect a diet high in processed foods and high in sugar as per Dr. Robert Lustig.

Please see...

• Sugar, the bitter truth.
  
  https://www.youtube.com/watch?v=dBnniua6-oM

Here's another good video from Dr. Lustig to watch...

• The Complete Skinny on Obesity
  
  

Here's a good article from 2012 discussing MRI in MS.

http://www.msdiscovery.org/news/news_sy ... -meets-eye