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What Do These Lab Reports Indicate?

Posted on Mon, 4 Sep 2017

Question: Hello, i have a question about my MRI scan of the spinal cord. I like a neurologist or radiologist to look at the images to see if there are any abnormalities of the spinal cord due to vitamine b12 deficienty or if there are any other irregularities due to other illnesses. Can i upload a zip file with images or what kind of document can i upload?

I have a question about my MRI scan of the spinal cord. I like a neurologist or radiologist to see the images. Do you notice any abnormalities due to B12 deficienty or any other deviations?

Answered by Dr. Neeraj Kumar (16 minutes later)

Brief Answer:
Please upload images for review

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Yes, You can upload images as jpg or pdf file.
You can also give a google drive link for image.
Hope you found the answer helpful.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (1 hour later)

Dear Dr. XXXXXXX
Thank you for your quick respons, your time and knowledge.
Below the We transer links
DICOM https://we.tl/jp29EVt0JS
jpg https://we.tl/WSgMJkLH8c
tif https://we.tl/g72FdRK1NW

The files are also uploaded in PDF.
Will you review image with number I90 range especially?
Thank you very much.
Best regards

Answered by Dr. Neeraj Kumar (17 hours later)

Brief Answer:
Upload vitamin B 12 reports, No specific MRI changes

Detailed Answer:
Hello,
I have gone through uploaded images of MRI.
There is non specific T2 hyperintensity at some cervical cord level.
This change is not characteristic of vitamin B12 deficiency.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (2 hours later)

Dear Dr N. XXXXXXX

Thank you so much for your answer. I really appreaciate it!
I have uploaded to more new files. I'm still concerned about the white dot as seen in the axial image in docnew at page 16-20. What can it be? I also took a snapshot of one image. Can you explane this picture of the spine or is this just normal. I still have backpain as well as the neurophaty (pins amd needles in feet/legs.) Although im feeling much better than month ago. Thank you so much doctor XXXXXXX
Best regards

Answered by Dr. Neeraj Kumar (22 hours later)

Brief Answer:
Continue treatment as advised

Detailed Answer:
Hello,
I have gone through the new uploaded image.
The hyperintensity is not characteristic of vitamin B 12 deficiency.
Mild changes may be present due to ageing of even with vitamin B 12 deficiency.
Continue same treatment regime.
Improvement is gradual but will be complete.
Wishing you good health and early recovery Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj