What Do The Following MRI Reports Indicate?
Consider multiple sclerosis.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
In my opinion, a part of symptoms you describe ( numbness, tingling, body pain, difficulty walking, etc.) are caused by spinal cord compression at cervical level and adhesive arachnoiditis at lumbar level.
In the other hand, cognitive and vision issues may be caused by demyelinating disease such multiple sclerosis, since there are found periventricular white matter changes on MRI.
Increase in signal intensity of the cervical spine also may be a multiple sclerosis plaque.
Multiple sclerosis also may cause tingling and numbness in different parts of the body.
So, I think you should discuss with your Neurologist about considering and getting evaluated further about multiple sclerosis.
Treating both these conditions (multiple sclerosis and spinal stenosis, arachnoiditis) should improve at least partially your overall condition.
Hope you found the answer helpful.
Let me know if I can assist you further.
Greetings.
My apologies, in addition to the original report, the impression that they wrote was
"Minimal T2 signal abnormality identified. I suspect this is sequela of chronic small vessel ischemic change. Linear abnormality seen extending from the atria the right lateral ventricle raising the possibility of demyelination in the appropriate clinical setting." What exactly does this mean, broken down?
Doubts about MS exist clinically and by imaging studies.
Detailed Answer:
Welcome back.
Broken down, it means that doubts about multiple sclerosis or other conditions that may cause myelin damage are present in the MRI report.
Clinical setting exists, so, since there is doubt about demyelination, further evaluation is necessary.
In my opinion, a new MRI of brain and cervical spinal cord is necessary to evaluate the progression or not of the abnormalities found before in MRI.
If still in doubt after the new MRI, lumbar puncture is necessary.
Hope this helps.
Kind regards.