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  • Which is correct, MRI report from radiologist, or Dr. w/films

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    Old 09-19-2007, 05:08 PM   #1
    Amyloo
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    Which is correct, MRI report from radiologist, or Dr. w/films

    Hi, I have an MRI report from a trusted radiologist, that says "demyelination process", twice. (Not "could be" or "may be", but is happening.) When the doctor looked at the actual films he said "normal". I asked him why the report said what it did, he then read the report (hadn't prior, just had looked at films) pulled the films back out, stared at them for about 1 minute and said "well, we should do this mri again with contrast". I pressed the issue as to why the report said it but he said nothing showed on the films and he said "the radiologist may be able to see things on the computer images that we can't see on the films." My question is this: who do you put your faith in? How many doctors are not reading people's reports and maybe missing something, and are the reports from the radiologist accurate? I mean, they make a report for a reason, right? They know what they are seeing, right? Help!!!!! Amy

     
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    Old 09-19-2007, 05:16 PM   #2
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Amy, I'm not a techie so I could be TOTALLY wrong here but I was under the impression that if there was a difference in terms of things to see, the actual films would be more accurate. I hope that others will come along to tell you the definitive answer since I don't know for sure.

    However, if what I believed to be is true, I'd go get the contrast done -- but with a new doctor! But honestly, in either case, I think his reaction was really strange -- I don't like that he didn't read the report in the first place. The doctor should do both -- read AND look!

     
    Old 09-19-2007, 05:36 PM   #3
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Thank you Bearygood. You people on this board are so nice. (and fast!) Amy

     
    Old 09-19-2007, 05:51 PM   #4
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    You're welcome, Amy. LOL, you happened to hit the board at the same time as I did. Anyway, didn't mean to bury your thread so this reply will bump it up. I'm curious about the answer myself but I've gotta tell you, it sounds weird to me regardless!

     
    Old 09-19-2007, 06:00 PM   #5
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Hi Amy and Bearygood. From my experience with both Neuros and MS specialists, and MRIs- I have yet to see a doctor read a report BEFORE he looked at a film...
    I have alot of faith in my doctors, and have always brought the films with me from the MRI center, but have had the radiologist fax the report straight to the doctors offices (both of them and I always see them BOTH within a week or two of each other for two opinions). I can tell you that both my neuro and MS doc have always been exactly in sync with each other and always have told me what they see, and then pulled out the report to look at it. Usually, the nurse has given me a copy of the report before the doctor comes in the room, so I have read it, although not always understood it.....
    Its always possible that when the fax has come in, the doctors have actually read it but highly unlikely that two weeks later, they remember what it said....with that in mind, Amy, I would be hesitant about any doctor who "changed his opinion" after reading the radiologists report. Im going to go with Bearygood and agree that usually the films are more definate then anything else...and that Neurologists of any kind are usually more trained to see MS type stuf then a regular Radiologist....radiologists are GREAT at picking up things which dont look right, or abnomalities...but Id hestiate to let a radiologist tell me that an MS lesion was an MS lesion, when it could quite possibly be from smoking, or a migrane....a lesion is NOT just a lesion...

    I dont know if this helps you Amy..and Im sorry to ramble, but I have to tell you, get the contrast done- that will show more detail and let you know if anything is actively going on...and then get another opinion from another doctor on what he/she thinks is showing on your films....the nice thing about doing this again is that MRIs can change week to week- maybe something more definative will show up,and youll have a baseline to compare the second one to.
    Thats something else I love about my docs...they tell me to hang on and NEVER return my MRIs....I go twice a year, and always take the previous set with me...they hang them up side by side and show me where things are the same or different....thats why I trust my doctors!

    So, why do I have two? MY Neuro is in-network and local to me...my specialist costs me a fortune to see twice a year, but I feel he is worth it because he is soo advanced in his research and info on the latest MS changes...its worth it to me to have them both a phone call away....I wish you well, Amy...and hope you are well too, Bearygood.
    Hugs
    n
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    Old 09-19-2007, 06:08 PM   #6
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Nikki, I agree -- I'd go with my doctor's opinion over a radiologist's impression although I don't discount that it's useful. (I'd be very nervious if my doctor ONLY looked at the report and I've heard that happening! ) What I didn't like about Amy's story the most was that her doctor was dismissive UNTIL he read the report. That's a little scary to me and I don't know that I buy his story.

    Maybe it is plausible but hopefully someone will know for sure about films vs. computer image to make us ALL feel better about Amy's doctor visit

    Last edited by Bearygood; 09-19-2007 at 06:08 PM.

     
    Old 09-19-2007, 06:29 PM   #7
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    An experienced radiologist should place markers on an image to point out his/her reading to the doctor. Who is right? It goes to who has the experience and track record. The UCLA Radiologist and the Evoked Potential Doctor both indicated MS to me, but the doctor wanted to run more tests. She was only 95% sure. She did not believe that KUMC had the right diagnosis in 1982 for me.

    The Radiologist was 100% correct.


    If you feel a second opinion is needed, get one. Studies have shown that women are worse then men in getting a second opinion. Men are worse at getting to the doctor in the first place!

     
    Old 09-19-2007, 07:38 PM   #8
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Thank you all, man you are smart. I will go for MRI with contrast of both head and c spine next Monday. God bless you all. Amy

     
    Old 09-19-2007, 08:43 PM   #9
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Good luck with your scan again. Don't forget to take yr last report for comparison.

     
    Old 09-20-2007, 04:22 AM   #10
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    I agree to take the last report, to the doctors office...however, if you are having the MRI done at the same place as last time, they will have it to compare to and YOU DONT WANT TO HAVE TO LEAVE IT THERE....since the radiologist usually doesnt look at the films for a few hours/days- you dont want to be leaving personal films from last time laying aound....just take them to the doctors with you when you go the second time.
    I have never head of markers being put on an MRI- I get them done every 6 months on both my spine and brain, both with and without contrast, and although abnormalities are noted in the report, nothing is ever actually noted on the films...I wouldnt want them to - they might cover something important!
    Good luck, keep us posted.
    n
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    Old 09-20-2007, 10:26 AM   #11
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Wow Amy, my name is Amy too and I had a very similiar experience, except my first practitioner read the report first, which stated "features consistent with MS" and a bunch of other stuff. After she looked at the MRI she then decided she thought it wasn't MS, but migraine headaches even though I've never had one! Well, I got the official diagnosis 2 days ago for MS from my fabulous new neurologist who specializes in MS. Bottom line... you have to be your own advocate, because no one else will. You must get a second opinion from a specialist. I know the stess is incredible being in that situation of not knowing and having a doctor you don't know if you can trust. Doctors are not infallible. Don't stop searching for the right answer, whether that's MS or something else entirely. I thought I would be devastated if I found out it was MS, but it's been a bit of journey and now I'm just relieved to know exactly what it is and that I can finally do something about it. The people who helped me out on this message board are fabulous people, very educated in MS and have been an extraordinary wealth of information and encouragement for me. Keep us updated and hugs to you!

     
    Old 09-20-2007, 11:02 AM   #12
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Congratulations on getting the right diagnosis. Though I had hoped you would not have to join the MS club, I hope you can feel the support you need. You might want to get a book or two to give to your family. They have them written for kids and adults both. If they can read and understand what to expect, your life will be a whole lot less stressful.

     
    Old 09-20-2007, 03:26 PM   #13
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    Thank you Kittens (Amy!) for your answer. This was actually the second neuro I have seen, the first one said "you have leisions on your brain but those are from your migraines." I said the same thing you did: I've never had a migraine! Then when the second neuro said "the radiologist may be able to see more detail on his computerized images than we can see on these films" I thought well, thats nice. What am I supposed to do with that little piece of info. So, now I will have second MRI (it has been ten months) with contrast and also they will do the c spine. That's monday. I really am sorry you have ms, Amy. And you're right the people on this site seem amazing in both knowledge and spirit. God bless you and thanks for answering.Amy(#2!)

     
    Old 09-20-2007, 03:28 PM   #14
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    Re: Which is correct, MRI report from radiologist, or Dr. w/films

    P.S Kittens, I am in California too! Amy

     
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