View Full Version : Help reading an MRI

08-09-2016, 07:18 AM
Hi, I am new to the boards and have been having some issues that doctors can't seem to figure out. So I figure I will look outside for some assistance in trying to find a diagnosis. This has been ongoing for months now with no relief in sight. My biggest problem is there dizzy spells and the tightness in my neck. Here is the Mri results.

Technique: Multiplanar T1 and T2-weighted MRI images of the brain were
performed utilizing 20 cc OptiMARK paramagnetic contrast.


There is no evidence of restricted diffusion or pathologic enhancement
to suggest acute/early subacute ischemic infarction, neoplasm or
infectious/inflammatory process.

Several punctate nonspecific T2 signal hyperintensity foci abutting
the frontal horns of the lateral ventricles bilaterally. Differential
diagnostic considerations include sequelae of prior infection,
gliosis, microvascular ischemic change or demyelinating disease. This
can also be seen with migraine headaches.

The brain parenchyma is otherwise normal in signal intensity and
morphology with preservation of gray-white differentiation and age
appropriate size of the ventricles and subarachnoid spaces.

The posterior fossa contents and brainstem are otherwise unremarkable.
The 7th-8th cranial nerve complexes, pituitary axis, orbits, paranasal
sinuses, and mastoid air cells are unremarkable.

Patent flow-voids are noted within the intracranial vessels and dural
venous sinuses. The calvarium is intact.

No acute intracranial abnormality. Nonspecific white
matter foci in the periventricular white matter anteriorly.
Differential diagnostic considerations discussed above.

I have had multiple test but this one I cannot understand the terms but my Dr office stated it shows normal.

08-15-2016, 12:03 PM
I posted this on the 9th after I had called my doctor for the results and was told everything was normal. Today I got a call from my doctor that I have white matter abnormalities and they need to refer me to a neurologist.

Anyone know what this could be or mean?

09-08-2016, 01:51 AM
So I went to the doctor and she was worried I miss got have ms. Sent me to a neurologist who said I was too old for ms and was feeling all the symptoms because my triglycerides were elevated. (262). Gave me a script to lower and a paper on a diet cause he also felt I was too fat.

Now my symptoms are lower back pain, neck pain ( you can see when the muscles tighten up) episodes of dizziness, and headaches.

So I guess back to square one.

09-08-2016, 04:12 AM
There is no such thing as being too old for having MS. MS is documented as being diagnosed at age 12 all the way into the 80s... you need another opinion from a neurologist who specializes in MS; they are called MS Specialists.
Most large hospitals have one and your primary doctor should be able to help you to get in. The waiting list is long for MS Specialists, sometimes months; but with a call from your primary, your MRIs can be reviewed.
Since there are no tests for MS, the dx is completely based on the MRI and the symptoms which accmopany it along with a good neurological exam.
Please get another opinion. I live with MS and everyone I know with MS has had a long road to get that dx, but once you know what you are dealing with, you can get answers and help.


09-10-2016, 08:46 AM
Thank you for the response. I have another appt with my primary next week and will ask her for a second referral. It just made me so mad. I had to wait for an appt and the it was less then 5 min. He never reviewed my scans with me but read the radiologist report and said mini strokes. Too old for ms, and I was sick due to triglycerides. Which was taken without fasting. So frustrating to have to start over.