Can you tell me what the results of this MRI mean? Help!?

Flair images show mild to moderate scattered foci of T2 hyperintense signal in the cerebral white matter in the corona radiata and centrum semiovale. The largest focus is in the right parietal corona 8mm. Finds are non specific most likely chronic microangiopathic change. There is a mild signal brightening along the frontal horn margins, but no evidence for colosal, brainstem or cerebellar lesion. The pattern is not strongly suggestive demyelinating involvement, but clinical correlation advised given the young age of this patient.


No evidence of pathological enhancement. Major arterial segments are open and sinuses and mastoid air cells are clear.


My syptoms are occasional headaches with nausea.


One time woke up with throbbing in right ear which lasted all day. Went to the dr. he told me it was because I grind my teeth while I sleep.


New Doctor:


My new doctor's nurse practictioner could not tell me what the MRI means however they have referred me to a neurologist.

Can you tell me what the results of this MRI mean? Help!?
The findings described in the report are commonly seen in older patients, where they are usually the result of atherosclerotic disease in the small blood vessels of the brain. This is unlikely to be the cause in a young patient such as yourself, which is why the radiologist is concerned. Although I use different wording, I have dictated similar reports myself.





Possible causes include:


Multiple Sclerosis.


Migraine headaches.


Vasculitis --inflammatory diseases of the blood vessels-- pretty uncommon.


Certain illicit drugs (e.g., cocaine, ecstacy)


Lyme disease-- rarely presents this way, but it's possible.


Diabetes --usually if longstanding and poorly controlled.





Seeing a neurologist is a good idea. S/he will order a set of blood tests to determine whether there is evidence of infection, inflammation, or MS. The conditions listed above are all treatable (and Lyme is curable).
Reply:Went to the doctor did all the tests and they still can not figure it out. Blood tests, MS test by neurologist with no answers. The migraines have disappeared however the MRI still concerns me. Report It

Reply:Follow up: The neurolgist ordered tests they all came back negative. No ms, lyme disease etc. Do you think I should follow up a get another MRI? Report It

Reply:your doctor didn't explain it to you? Shame on him... I would go back and demand an explaination
Reply:The results of this MRI suggest a reduction of brain matter in the right frontal lobe of your brain. The white matter is affected by many disease processes. The primary demyelinating disease is multiple sclerosis, but many other metabolic and inflammatory disorders result in deficient or abnormal myelination. This is most noticeable noticed in Alloxaon Diabetics but can also be cause buy trauma.





A Neurologist will have men of treating this and should be able to repair this damage over a period of time. It will likely depend on you and your body as to the length of treatment required.


This should most definitely be follow up on and you should continue treatment, failure to due so could result in loss of motor function, speak and other problems.


I do not want to alarm you but you have asked a question that is not easily answered without giving you the honest truth.





My Best Regards!

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