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What Does My MRI Scan Report Indicate?
Question:
I had a MRI done last week due to a few headaches and syncope. I expected it to only show sinus infection, however, the MRI report actually showed something else. I am very frightened by this as I have a 3 year old son. The report reads as follows:
MRI brain without contrast
Indications: HA, syncope
Comparison: none
Findings: Unremarkable study except for a small high T2 and flair signal intensity lesion within the left anteromedial corona radiata white matter adjacent to the anterior aspect of the cingulate gyrus measuring 10.9x8.3 mm. This is consistent with a small focus of gliosis related to prior trauma or ischemia. Also in the differential diagnosis would be a small glial neoplasm. Recommend follow-up study with IV contrast in 3 months to assess stability.
Impression: No acute intracranial process. A solitary focus of gliosis left anteromedial corona radiata white matter with differential diagnosis including a small glial lesion. Therefore recommend follow up in 3 months.
My question/ concern is am I safe to travel alone with my child? Is it safe to go three months without rechecking? I am just scared and need a little reassurance. Thank you!
I had a MRI done last week due to a few headaches and syncope. I expected it to only show sinus infection, however, the MRI report actually showed something else. I am very frightened by this as I have a 3 year old son. The report reads as follows:
MRI brain without contrast
Indications: HA, syncope
Comparison: none
Findings: Unremarkable study except for a small high T2 and flair signal intensity lesion within the left anteromedial corona radiata white matter adjacent to the anterior aspect of the cingulate gyrus measuring 10.9x8.3 mm. This is consistent with a small focus of gliosis related to prior trauma or ischemia. Also in the differential diagnosis would be a small glial neoplasm. Recommend follow-up study with IV contrast in 3 months to assess stability.
Impression: No acute intracranial process. A solitary focus of gliosis left anteromedial corona radiata white matter with differential diagnosis including a small glial lesion. Therefore recommend follow up in 3 months.
My question/ concern is am I safe to travel alone with my child? Is it safe to go three months without rechecking? I am just scared and need a little reassurance. Thank you!
Brief Answer:
Please find my observations below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Your MRI scan brain shows a 10.9 x 8.3 mm lesion in the left cerebral hemisphere corona radiata.
The corona radiata is an area in the brain white matter and it is most likely that the area seen on MRI scan is due to an old trauma (if you ever had one) or an area which is the consequence of deficient blood supply and written as ischemia.
There is a least possibility of somethinglike a glioma but your doctors do not want to take chances and have advised a repeat MRI brain scan with contrast in three months.
Having seen brain scans for more than 10 years, I would like to reassure you that your findings are more likely to be benign but a follow up imaging is always required for peace of mind and confirm the earlier findings.
My observations concerning your scans are as follows
1. Your primary problems is headaches and syncope. At your age and with your scan findings, the possibility of a lesion in corona radiata measuring 10 mm causing these symptoms is less likely.
2. There is no significant pressure effect that can explain your symptoms. A glioma is a malignant lesion and almost always causes brain swelling and pressure effects which are indirectly responsible for symptoms.
3. I would like you to get few investigations like carotid and vertebral artery Doppler and blood glucose tests done just to be sure that your blood sugar levels are normal and the brain blood supply is not compromised.
4. Travelling is safe as a passenger but please avoid driving, swimming or activities that require a high level of alertness.
5. Three months is the minimum time to observe any changes in the lesion and will provide enough information to make a more definite diagnosis.Please do not worry.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find my observations below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Your MRI scan brain shows a 10.9 x 8.3 mm lesion in the left cerebral hemisphere corona radiata.
The corona radiata is an area in the brain white matter and it is most likely that the area seen on MRI scan is due to an old trauma (if you ever had one) or an area which is the consequence of deficient blood supply and written as ischemia.
There is a least possibility of somethinglike a glioma but your doctors do not want to take chances and have advised a repeat MRI brain scan with contrast in three months.
Having seen brain scans for more than 10 years, I would like to reassure you that your findings are more likely to be benign but a follow up imaging is always required for peace of mind and confirm the earlier findings.
My observations concerning your scans are as follows
1. Your primary problems is headaches and syncope. At your age and with your scan findings, the possibility of a lesion in corona radiata measuring 10 mm causing these symptoms is less likely.
2. There is no significant pressure effect that can explain your symptoms. A glioma is a malignant lesion and almost always causes brain swelling and pressure effects which are indirectly responsible for symptoms.
3. I would like you to get few investigations like carotid and vertebral artery Doppler and blood glucose tests done just to be sure that your blood sugar levels are normal and the brain blood supply is not compromised.
4. Travelling is safe as a passenger but please avoid driving, swimming or activities that require a high level of alertness.
5. Three months is the minimum time to observe any changes in the lesion and will provide enough information to make a more definite diagnosis.Please do not worry.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I really am concerned now. I shouldn't drive or swim? My husband is currently deployed, and I am the sole caregiver for our three year old. I feel very alert, haven't noticed any deficits in that area.
Brief Answer:
If your syncopes are under control then you can drive and swim
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
I just wanted you to be aware of the consequences of having a syncope when on the road or at the pool. I am concerned about your family and that you have a 3 year old to take care of.
What I meant is if your syncopes occur too often then having a syncope when driving or at a swim might endanger your life. Something that I would like you to be aware of. However this restriction is only for a few days till your syncope attacks are under control.
If your syncopes are under control then driving or going for a swim is not restricted.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
If your syncopes are under control then you can drive and swim
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
I just wanted you to be aware of the consequences of having a syncope when on the road or at the pool. I am concerned about your family and that you have a 3 year old to take care of.
What I meant is if your syncopes occur too often then having a syncope when driving or at a swim might endanger your life. Something that I would like you to be aware of. However this restriction is only for a few days till your syncope attacks are under control.
If your syncopes are under control then driving or going for a swim is not restricted.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Oh, ok. Yes, I just had the one episode of syncope in early January. My MD felt it was related to sinus pressure, as I had a very bad sinus infection. Ok, I feel a little better. This is all very scary for me since I am alone with the baby right now. Thanks for clarifying.
Brief Answer:
Wishing you good health
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Single episode of syncope, most likely to be the result of increased sinus pressure is less likely to repeat itself. You can try teaching you little daughter that if mummy is suddenly unwell then she must raise an alarm by informing your neighbors or calling someone, though this might be difficult at the moment considering her age. Another method to safeguard your health is to inform a close relative or friend should you suddenly feel too uncomfortable at any time and ask to be taken to ER and someone will be there to take care of your kid.
The above are only suggestions and I pray that you do not have to face any emergency situation when alone with your daughter.
Getting a MRI scan is just to make sure that things are in place for you and once its done then and its confirmed that the brain lesion isnt a dangerous one, you can stop worrying about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Wishing you good health
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Single episode of syncope, most likely to be the result of increased sinus pressure is less likely to repeat itself. You can try teaching you little daughter that if mummy is suddenly unwell then she must raise an alarm by informing your neighbors or calling someone, though this might be difficult at the moment considering her age. Another method to safeguard your health is to inform a close relative or friend should you suddenly feel too uncomfortable at any time and ask to be taken to ER and someone will be there to take care of your kid.
The above are only suggestions and I pray that you do not have to face any emergency situation when alone with your daughter.
Getting a MRI scan is just to make sure that things are in place for you and once its done then and its confirmed that the brain lesion isnt a dangerous one, you can stop worrying about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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