Hello. I am new to the MS board. I have not been dx'd with MS but due to recent MRI results for an altogether different medical issue, my dr suggested I see Neuro dr.
I am getting ready to have thyroidectomy but as soon as that is behind me, I will make an appt with a neuro as suggested.
In the meantime I was hoping someone might be able to help me understand the mri findings.
'Few scattered diminutive foci of T2 hyperintensity of the cerebral white matter are nonspecific.' Also... 'Chronic cerebral white matter changes and chronic microvascular ischemic changes are in the differential.'
Ischemic means stroke I thought so at first I thought for sure the dr was going to tell meI would have to worry about strokes but he said this is seen as normal and part of the normal aging process. I'm 56yo.
But then he said maybe an early indication of MS and to see a neurologist.
My question is ... Wouldn't an mri state plainly MS if that were the case?
I do have a lot of spasms but I also have cervical disc degeneration (multiple herniated discs in my neck). I also have arthritis of all of my joints including hands & feet.
And fibromyalgia. So all of my slow moving muscles and bones and spasms are bc of my arthritis, etc.
Has anyone else had an mri like this that is nonspecific before being dx with MS?
Thank you for any insight into these mri findings.
The hyperintensity image can occur in strokes. This is a problem of reading MRI's and why specialists are often needed for proper discernment. With your thyroidectomy to have taken place, some symptoms associated with thyroid problems may disappear in time. I do not know if they will have gone by the time you see a neuro.
As you live in Houston, you have many specialists from whom to choose. Your neuro, if MS is a possibility, should be an MS Specialist. Due to your many other health concerns, I would not worry at this time whether MS may be a possibility. The Specialist can certainly help sort things out for you. They will have to sort out your symptoms due to your current health problems as well as factoring meds you will be taking.
Lastly, as the doctor did say, aging can be a factor for some of your images. Rest and get through your upcoming surgery and lay aside your fears. If you need help locating an MS Specialist, ask your doctor first and if this is not possible, let us know and I am sure someone can point you in the right direction. You are not alone!
MS diagnosed since October 3, 1982
MS onset circa 1977
Proud to be MED FREE!
Eternally blessed and eternally optimistic!<><
Last edited by MSJayhawk; 08-08-2012 at 01:15 PM.
The Following User Says Thank You to MSJayhawk For This Useful Post: marcee (08-08-2012)
Without looking at the MRI pictures one can't tell much about your findings. The report is merely a hint for the neurologist where to look. He has to decide if findings are typical for a certain disease.
Recently I had MRI of my spine, and the report stated nonspecific T2 hyperintensities in cervical spine at C2 and C5/6 without contrast enhancements that could correspond to demyelination. I asked the MRI results to be burned to CD and had a look at the pictures myself . The hyperintensities mentioned in the report are barely noticable, one would probably miss it without playing with image enhancement. And they don't look like MS lessions (visible on T2) one can see on the internet which calmed me down.
I'm going to visit neurologist tomorrow, but from just looking at the report one could think I must have MS. But by looking at the pictures, one can reach a totally different conclusion. So my advice is don't get scared by T2 hyperintensities on MRI
Last edited by wildhorse64; 08-09-2012 at 12:00 PM.
Wildhorses, Im not sure I can whole heartedly agree with you on this....radiologists go to school for ten years to learn how to read MRIs, and many of them specialize in Neurological diseases- for a layman to read their own MRI and then try to distinguish what is, or what isnt a MS lesion or demylination, is kind of like an educated guess.....there are so many variables.
Lesions, can be from so many different things- migranes, prior infection- head trauma- they can be so very similar in size and shape~ placement is also key...until you look at someone like MY OWN MRI. I have over 70 lesions now- they are in every part of my brain and brain stem....and even I, with over 20 sets of films to refer to and 20 reports as well, cant read my own MRIs or tell what changes are on them.
Marcee- you should never really count on anyone except a trained professional to read your MRIs...many radiologists are 100% accurate in their readings and reports...I know my hospital has a MS specialist who is also a radiologist, who only does MRIs for MS patients! Other radiologists may not be quite so accurate and in that case, the neuro usually knows it. BUt I also know Neurologists who dont read films and rely on the radiologist to tell them what is there, or not there. I know neuros who refuse to look at the report and interpret the films themselves...when in doubt, ask for a second opinion. If you are seeing a MS specailist, youre usually in very good hands.
I dont want to be negative, but the one thing you shouldnt EVER do- is read your own films....or your reports....its confusing, and unless you are properly trained, you can scare yourself into believing something that isnt true- or convince yourself of something you shouldnt....wait for the doctor, and if you truly dont believe what you hear- get another opinion.
I think you are right about not trying to interpret my results. I really wouldn't even begin to think that I could to be honest. As soon as I have my thyroidectomy though, I will make an appointment with a neuro as suggested by my dr. I'm not sure how to locate one who specializes in MS but my dr probably does.
I know that many of my symptoms are probably similar to MS symptoms but I will leave that up to the neuro to figure out. I'm just very worried about this upcomiing surgery and I guess I'm not doing a very good job of keeping my emotions in check. Then when the dr mention the possibility of MS, I just wanted to see if anyone else had a nonspecific result on their MRI like mine.
If it turns out that it is MS then I will just have to deal with it when that time comes. At least it is comforting to know that this board is available with people who are very familiar with MS.
Not reading the report and trying to interpret the results would probably be ideal, but as we can see from the amount of posts discussing MRI results people do read them, get scared and convince themselves they must have MS due to T2 hyperintensities. What I was trying to say is that the report itself will often provide too little information to make any accurate guess, except in cases like when enhancing lession is detected. So it doesn't really make sense to discuss MRI results on forums like this one, not only due to lack of information but also lack of knowledge/training.
But there are some people like me who in order to satisfy their curiosity will also look at MRI images and try to locate things described in report to estimate significate of the findings. In my case my opinion of my MRI was confirmed by neurologist I visited today. To be polite, I didn't mention my opinion, I waited to hear hers.