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    Old 12-20-2008, 10:18 PM   #1
    Zinergy
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    Abnormal/Normal MRI

    Hello, I'm new to the board and I really needed to talk to people going threw the same stuff. Wasn't to sure where to put my post.

    Just this last week, I had an MRI done and the radiologist (sp?) stated that it was normal. The odd thing is he actually put that I have
    " Mild non-specific increased T2 and Flair signal is present in sub cortical white matter of both frontal lobes as well as in the left frontal periventricular white matter. Flow voids are present in the internal carotid and basilar arteries. There is mild thickening in the maxillary sinuses. Differential diagnosis includes changes due to migraine headaches, gliosis related to prior injury as well as demyelinating disease."
    So far all the other parts of my brain and brain stem show as normal.

    Two days after getting the results, I luckily already had an appointment with a neurologist. He took one look at my MRI and the report and said there is no way that my MRI should be normal for someone my age ( I was hoping he would say it was just from age and nothing to worry about..apparently we weren't on the same page.) and in fact it is an abnormal MRI. He then showed me the three leisons on my brain that he could see. He then ordered blood work done on me for every type of disease that could cause the leisons. (Ten viles of blood....started wondering if they were going to leave any for me.)
    So now I'm playing the waiting game until the 24th of Dec when I am suppose to have the results. (Merry Christmas...right?!)

    Now am fretting. He listed off some of the possibilities that could be what I may or may not have. MS, Lupus, some other disease that I can pronounce, after that I kinda trailed off or he started mumbling again and didn't really hear what he was saying anymore.

    I guess what really irks me is that the radiologist just dismissed everything as normal. I had a couple migraines a few months back due to a car accident (The accident was why I was seeing the neurologist in the first place.) and I hadn't had any for about 9 years before that. Past head injury was about 15 years ago. You would think signs would have shown up before now if it was from that...not to mention the prior injury was to the back of my head..not the front.

     
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    Old 12-21-2008, 07:00 AM   #2
    MSJayhawk
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    Re: Abnormal/Normal MRI

    The good news, you have a brain!

    It is difficult to define normal for a specific person. Doctors have to group "normal" and average it out. My sister-in-law has severe migraines. After numerous CTs and MRIs, she is going to see a cardiologist.

    If your doctor knows about your accident and you are "normal", then I would take great comfort in the news. You saw a neurologist who likely reads MRIs ad nauseum. If your MRI showed normal, it probably is. The next question would be, what is the cause of my migraines? Your neurologist is doing the right thing by getting a blood work done. Your neurologist was kind enough to point out lesions as well as try to pinpoint the cause.

    I think you are well blessed to be under the care of a neurologist who is doing the right thing. Migraines are not fun, but you can take rest that you are in good hands. You are blessed. Keep coming back here to ask all the questions you want. There are also forums that deal with migraines as well. In the meanwhile, I will add you to my prayers.

     
    Old 12-21-2008, 09:13 AM   #3
    Zinergy
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    Re: Abnormal/Normal MRI

    My neurologist thinks the migraines could be a possibility, but since I have only had a few in my life and they are not chronic, his feeling is that it just might not be the case. He's still not ruling it out as a possibility.

     
    Old 12-21-2008, 05:25 PM   #4
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    Re: Abnormal/Normal MRI

    Zinergy, I feel for you- the not knowing is horribly scary. But take heart in the fact that lesions can be caused by any number of things! I had a bad car accident 20 years ago- which resulted in both head trauma and facial surgery. Those "lesions" show up on my MRI from the time I was in my 20s...the word lesion, means scar. And scars can be caused (lesions can be caused) by trauma, migranes, a injury to the head and from things like MS...

    MS lesions are specific in placement and in size/ shape...a good neurologist will be able to tell the difference, and almost all radiologists can tell, because they see them day in and day out. If your radiologist said it was a normal MRI, chances are, he has seen so many abnormal ones, that this one wasnt specific enough to point to a problem. AS Jayhawk stated, youre in good hands with a doc who is trying to rule out anything else- but blood work will not rule out MS or many other diseases....what it will do is show deficiencies such as B or Iron- (B deficiencies cause MS like symtoms) as well as give you a good overall base to look at....Lupus and things like that are dx usually by a Rheumatologist, not a Neurologist, however there are blood diseases which should be ruled out as well....so you ARE off to a positive start. Being that the radiologist didnt pick up anything, I doubt very much your Christmas is ruined....however its good to see what the blood work shows and start a game plan, even if it means repeating the MRI in 6 months to look for changes...MRIs can change day to day; however if there is something there it wont go away, but if something was too small to pick up last time, it might show the next time. Was it done with contrast? Contrast is the dye injected into your vein- it helps the radiologist and doctor to see really tiny and active lesions...

    Try not to fret. Really. Whatever is causing this has more then likely been happening for many many years, which means your life is not at stake, and nothing is going to change as you know it in the next few months or possibly even years. Most of us have had MS for ten years or longer without even knowing we have had it, and I have been dx for over 3 years now- Im healthier now then I was when I was dx...

    keep us posted and do not worry. Worrying makes small things seem bigger then life.
    Happy Holidays ..
    Nikki
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    Old 10-21-2010, 04:39 AM   #5
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    Re: Abnormal/Normal MRI

    Quote:
    Originally Posted by Zinergy View Post
    Hello, I'm new to the board and I really needed to talk to people going threw the same stuff. Wasn't to sure where to put my post.

    Just this last week, I had an MRI done and the radiologist (sp?) stated that it was normal. The odd thing is he actually put that I have
    " Mild non-specific increased T2 and Flair signal is present in sub cortical white matter of both frontal lobes as well as in the left frontal periventricular white matter. Flow voids are present in the internal carotid and basilar arteries. There is mild thickening in the maxillary sinuses. Differential diagnosis includes changes due to migraine headaches, gliosis related to prior injury as well as demyelinating disease."
    So far all the other parts of my brain and brain stem show as normal.

    Two days after getting the results, I luckily already had an appointment with a neurologist. He took one look at my MRI and the report and said there is no way that my MRI should be normal for someone my age ( I was hoping he would say it was just from age and nothing to worry about..apparently we weren't on the same page.) and in fact it is an abnormal MRI. He then showed me the three leisons on my brain that he could see. He then ordered blood work done on me for every type of disease that could cause the leisons. (Ten viles of blood....started wondering if they were going to leave any for me.)
    So now I'm playing the waiting game until the 24th of Dec when I am suppose to have the results. (Merry Christmas...right?!)

    Now am fretting. He listed off some of the possibilities that could be what I may or may not have. MS, Lupus, some other disease that I can pronounce, after that I kinda trailed off or he started mumbling again and didn't really hear what he was saying anymore.

    I guess what really irks me is that the radiologist just dismissed everything as normal. I had a couple migraines a few months back due to a car accident (The accident was why I was seeing the neurologist in the first place.) and I hadn't had any for about 9 years before that. Past head injury was about 15 years ago. You would think signs would have shown up before now if it was from that...not to mention the prior injury was to the back of my head..not the front.

     
    Old 10-21-2010, 05:06 AM   #6
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    Re: Abnormal/Normal MRI

    Hi i am new to this site i know your post is old but i hope someone is still
    there my situation kinda started the same way i had a MRI in April of this year
    and they said that i had a pich nerve and a curved spine and sent me to
    physical therpay it seemed to work while i was on the table and in between
    all of this oh i forgot to mention that my pinch nerve in on my right side from
    my neck down my right arm and the pain runs up & down my arm all the time
    and i can not sleep on that side but the part i was going to mention was i also
    had a frozen shoulder on the same side i had surgery for that which also made
    my pinch nerve feel better because i was off work for 2 months so i think it had calmed down since i was home resting

    But then i went back to work and the pain started to get worse(pinced nerve)
    so i kept going to my primary doctor telling him that i still have this pain so he
    gave me some Tramadol which helps a little and i mean a little my doctor does not like to give nacortics so i had to say to him i think i need a MRI so he finally sent me for that so time still passes and not better so i decide that i need to see someone else since we know our bodies so a family member gave me a number to a nuero sugeron who looked at my MRI and said they missed something now he says that i may have Leisons i am really scared he sent me for a CT scan and said that after the results come back we can sit
    down and talk well that right there scared me well i had the scan the day before yesterday and i go see the doctor today i am really scared but i don't want to say worried because i always hand my worries over to God
    i was online last week reading everyone post about MRIs,Leisons etc and i knew i could write my feeling here also i don't want to upset my husband
    so i just wanted to share and i'll see what i hear today..say a Prayer for me
    thanks for reading

     
    Old 10-21-2010, 07:24 AM   #7
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    Re: Abnormal/Normal MRI

    I will pray for you, Oakleaf.

    I would caution you about having a neurosurgeon look at your MRI. While a neurosurgeon is skilled, there is a reason for their "surgeon" status. MSers are not the neurosurgeon's 'cup of tea'. Neurosurgeons want to be able to perform their surgery. MSers cannot benefit from neurosurgery in the MS related way.

    Make sure that your MRI (with and without contrast) is seen by a neurologist who deals with MSers. There is a difference. The CT scan will help your doctor see physical concerns, but the CT does nothing for the MSer. Also remember that while lesions can be MS related, they can also be scars borne since a viral infection even from since we were children. MSers have lesions, but not all lesions are MS. Also, the MRI is only one of the many tools used to diagnose MS. There is no single MS test.
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    Old 10-24-2010, 01:15 AM   #8
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    Re: Abnormal/Normal MRI

    I have three lesions. Two radiologists thought they did not look like MS, a neuro-surgeon (friend who did as courtesy) did not think they looked like MS. I went to a MS specialist and she did think they looked like MS. It was caught very early and I am very very lucky so I am on treatment. I do not have a formal diagnosis yet given my lesions represent only "an MS episode" and you need more than one to classify. Regardless treatment is the same. LIke Nik said, nothing changes-- hope you get an answer soon and can start treatment -it really is a blessing you are all over it. The other item is that I did have some other symptoms that prompted to go for the MRI anyway.

     
    Old 10-24-2010, 01:17 AM   #9
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    Re: Abnormal/Normal MRI

    You don't seem to have other symptoms, in rereading your post. That is very very good! I had lots of symptoms-vertigo, dizzyness, weakness, etc...

     
    Old 10-25-2010, 07:49 AM   #10
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    Re: Abnormal/Normal MRI

    Quote:
    Originally Posted by MSJayhawk View Post
    I will pray for you, Oakleaf.

    I would caution you about having a neurosurgeon look at your MRI. While a neurosurgeon is skilled, there is a reason for their "surgeon" status. MSers are not the neurosurgeon's 'cup of tea'. Neurosurgeons want to be able to perform their surgery. MSers cannot benefit from neurosurgery in the MS related way.

    Make sure that your MRI (with and without contrast) is seen by a neurologist who deals with MSers. There is a difference. The CT scan will help your doctor see physical concerns, but the CT does nothing for the MSer. Also remember that while lesions can be MS related, they can also be scars borne since a viral infection even from since we were children. MSers have lesions, but not all lesions are MS. Also, the MRI is only one of the many tools used to diagnose MS. There is no single MS test.

     
    Old 10-25-2010, 07:59 AM   #11
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    Re: Abnormal/Normal MRI

    I really appreciate you writing me back it's nice to have someone to talk to
    MsjayHawk well i had my CT scan on Friday and it showed some time of Leison
    on my bone so now i am having a EMG nerve conduction test this Friday my
    doctor did change the pain meds so it helps a bit i'm going to watch what the doctors tell me i always haved i just want them to fine out if there is something wrong or not i would like to be pain free after having a frozen shoulder so long that was pain enough well if the nerve test does not clear up things the neuro doctor said i may have to have another MRI i hope not
    well i don't know much more to say about it i'll just keep my faith and keep praying but i will say this this neuro doctor seems to know what he is doing i saw the image on the ct scan my self so it is there

    thanks for listening
    Oakleaf

     
    Old 10-25-2010, 12:49 PM   #12
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    Re: Abnormal/Normal MRI

    You appear to be in caring hands. The bone lesion would not be MS, but you can have something else with MS (MS is not necessarily a stand-alone disease). Often pain associated with bones is difficult to alleviate. Hopefully you can get something to help.

    Keep going down the road you are on today and you will get an answer, I believe. Staying positive throughout the entire ordeal is really important. Whether you have MS or not, staying positive helps the body heal.
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