Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does My MRI Report Indicate?
Question: What do you think about this abnormal MRI report
MRI brain 7/8/2014. Comparison 11/19/2009.
Indication: Postconcussion headache.
Technique: The trauma protocol brain was performed without and with
gadolinium, patient was injected with 19 mL Magnevist contrast from a
single dose 20 mL bottle.
Findings: There is no acute hemorrhage, infarction, mass effect, or
midline shift. The ventricles and sulci are stable and
age-appropriate. There is a chronic lacunar infarction within the left
corona radiata, with a few additional punctate foci of T2
hyperintensity also identified within the right parietal white matter.
There are no suspicious areas of chronic microhemorrhage within the
brain. No obvious prior cortical hemorrhage is identified to suggest
prior injury. There is a right parietal developmental venous anomaly
with no pathologic intracranial enhancement identified. The orbits and
globes are normal. There is minimal mucosal thickening with the
lateral recess of the right sphenoid sinus, the paranasal sinuses and
mastoids are otherwise clear. The major arterial flow-voids are
intact.
Impression: Mild chronic ischemic changes with no evidence of acute or
significant chronic traumatic injury to the brain. No acute findings.
MRI brain 7/8/2014. Comparison 11/19/2009.
Indication: Postconcussion headache.
Technique: The trauma protocol brain was performed without and with
gadolinium, patient was injected with 19 mL Magnevist contrast from a
single dose 20 mL bottle.
Findings: There is no acute hemorrhage, infarction, mass effect, or
midline shift. The ventricles and sulci are stable and
age-appropriate. There is a chronic lacunar infarction within the left
corona radiata, with a few additional punctate foci of T2
hyperintensity also identified within the right parietal white matter.
There are no suspicious areas of chronic microhemorrhage within the
brain. No obvious prior cortical hemorrhage is identified to suggest
prior injury. There is a right parietal developmental venous anomaly
with no pathologic intracranial enhancement identified. The orbits and
globes are normal. There is minimal mucosal thickening with the
lateral recess of the right sphenoid sinus, the paranasal sinuses and
mastoids are otherwise clear. The major arterial flow-voids are
intact.
Impression: Mild chronic ischemic changes with no evidence of acute or
significant chronic traumatic injury to the brain. No acute findings.
Brief Answer:
Suggestive of ischemia
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and the MRI brain findings.
Based on the description, MRI reports suggest a diagnosis of ischemia (lack of blood flow to brain). Two lesions are seen- one is the old lacunar infarction and another one is a new ischemic lesion. The MRI report is not suggestive of multiple sclerosis (MS), as it does not fulfil the criteria of diagnosis for MS.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Suggestive of ischemia
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and the MRI brain findings.
Based on the description, MRI reports suggest a diagnosis of ischemia (lack of blood flow to brain). Two lesions are seen- one is the old lacunar infarction and another one is a new ischemic lesion. The MRI report is not suggestive of multiple sclerosis (MS), as it does not fulfil the criteria of diagnosis for MS.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Does it appear I am having XXXXXXX strokes? Do you think my MRI is abnormal? What does it mean when it says "a few additional punctate Foci of T2 hyperintesity"? Is the DVA something to be concerned about?My doctor wants and Echo to check for blood clots in my heart and a lumbar puncture to test for MS. Are there unneeded tests?
What is the criteria of diagnosis for MS on an MRI?
What is the criteria of diagnosis for MS on an MRI?
Brief Answer:
Yes, they are XXXXXXX strokes.
Detailed Answer:
Thank you for getting back.
Yes, these lesions represent XXXXXXX strokes. Your MRI brain is abnormal. Additional punctate foci of T2 hyper intensity represents a new area of ischemia.
Echo and lumbar puncture should be done.
In MRI, we need to see multiple lesions, especially in corpus callosum, periventricular regions, infra-tentorial region and spinal cord to diagnose MS. Also, the lesions should be active on contrast MRI.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Yes, they are XXXXXXX strokes.
Detailed Answer:
Thank you for getting back.
Yes, these lesions represent XXXXXXX strokes. Your MRI brain is abnormal. Additional punctate foci of T2 hyper intensity represents a new area of ischemia.
Echo and lumbar puncture should be done.
In MRI, we need to see multiple lesions, especially in corpus callosum, periventricular regions, infra-tentorial region and spinal cord to diagnose MS. Also, the lesions should be active on contrast MRI.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
