Mri Report( Could This Be Ms) - Multiple Sclerosis Message Board

pali1 · 02-28-2008, 03:57 PM

Hey guys this is my first time here. I was wondering if anyone could interpret my mri report. I go back to the doctor in two weeks and just cant wait to know what this means. here goes

Diffussion-weighted images are normal. There is no mid-line shift, mass effect or abnormal enhancement.THERE IS non-specific, patchy heterogenous signal within the periventricular white matter and corpus callosum, most easily appreciated on the saggittal and axial FLAIR sequences.Ther is no corresponding abnormal enhancement. While not clearly classic for multiple sclerosis, this location of this signal heterogeneity raises the possibility of periventricular demyelination.

Ther is no focus of abnormal flow void. No paranasal sinus disease is detected. Suprasellar cistern and craneovertabral junction is intact.

IMPRESSION
Non-specific heterogeneos signal within the periventricular white matter and corpus callosum, Suspicious for demyelinating disease.
otherwise negative study

I have tingling in my hands and arms and toes, muscles tightness in my neck and shoulder. blurred vision and imbalance. i just would like to know what is goingon with me and does this sound like Ms to anyone,
Thanks to all that apply,

tarapags1107 · 02-28-2008, 05:55 PM

Hi Pali,
Hello, I am an MRI tech so I'll try to help: The flair images are very diagnosic for white matter changes in general. Flair images show multiple sclerosis "plaques, lesions" which could be the areas of dymelination. Dymelination will cause increased "signal" or bright color on the images (known as sequences). From what I've gathered, your MRI does sound very concerning but doesn't necessarily mean MS. There are other infectious and inflammatory conditions that produce increased "signal" on flair sequences such as some CNS infections and lymes disease. You can look up the mcdonald criteria for diagnosing ms. There has to be evidence of CNS involvement dissmenated between time and space. The radiologist wrote "suspicious for dyemyleniating disease" which could very well mean MS. They have to test pretty much everything else with blood work and labs before they can diagnose you with ms. Have you had a spinal tap done? Have you had your eyes checked by an eye doctor? Blurred vision can be associated with inflammation of the optic nerve in your eye called "optic neuritis." It is very common in MS. If your doctor suspects MS, they will probably send you for a spinal tap and to a neurologist. Good luck at your next appointment. Try not to stress too much in the meantime, if it ends up being ms, there are alot of supportive people here on this board that can help you with any questions you have and some really good treatments out there. Take care.
Tara

pali1 · 02-28-2008, 06:22 PM

Thanks tara for replying...I am seeing a neurologist right now and i have had blood work done not sure what for but he ordered several test and those came back normal. I havent had a spinal tap done yet. I didnt know if the mri report meant it was negative or normal with that suspicious for demyelinating disease on there. Its kind of scary to think about and a relief as well because a lot of doctors make you feel as if its all in your head but my neurologist has been great. Again thank you for your response, I know two week is a long time to wonder whats going on.

Bearygood · 02-29-2008, 08:41 AM

Hi pali, and welcome. Scary as it is, in one way you're ahead of many others who have sx and nothing tangible to see in the way of clinical data. Good luck to you and keep us posted on what happens with your appointment!

pali1 · 02-29-2008, 10:55 AM

thanks for replying beary... I guess you are right. I dont know what i would do without this site. reading about what others are going through and seeing that im not alone helps so much. I had a c-spine done by a othro doc about 2 months ago. it came back clean for herniated disc and all but i cant remember all the other stuff that was on it so im going to get a copy of that. That doctor just dismissed me and said it was all in my head and said he could refer me to a neuro if i wanted...Im glad he did. Ill keep ya posted and thanks