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What Does My MRI Scan Report Indicate?

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Posted on Wed, 4 Jan 2017
Question: Late July 2016 had left sided bells palsy that was very mild. Had ct of brain without contrast (negative) and MRI with contrast (negative) with dx due to viral infection. About same time had right eye flashes. Been to several eye and retinal doctors. They attribute to ocular migraines.

Early September 2016 had right sided Bell's palsy. It appeared to have resulted and it too was very mild. No known cause. Did have strong right tmj pain. Still have uneven smile and droop in right corner of lips.

Mid October 2016 awoke to pulsating in ear and still have it. ENT said will order Mri if not resolved by mid December. No hearing loss per testing. 2 small left side posterior cervical nodes are palpable and me right side posterior cervical. ENT said nothing to worry about, so did PCP.

late November 2016 had CBC with 11,200 on abc count but all other items were in middle of ranges. No diff was ordered. PCP felt no issues.

no fevers or chills since mid July except one random couple hour one in mid September.

no weight loss

some headaches recently but attribute that to poor sleep from sick kids

blood pressure is around 125/75 with 90 for pulse throughout these months
a stiff neck at times. Chiropractor says muscles are tight.


should I be concerned about cancer, brain tumors, infection in brain blood tumors in brain or sarcadodis in brain ?
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Cancer not likely

Detailed Answer:
Hi
Thanks for your query.

I understand your concerns. Having sequentially two Bell's palsy is unusual. But it is good that they were mild and almost resolved. I can't see anything to suspect cancer however, as MRI is normal and blood counts are fine. The small lymph nodes are probably benign.

As you are having flashes in eye, pulsating in ear and also history of the bells palsy, I would suggest a neurology consult. All of these may be due to multiple cranial nerve involvement by some disease process. But very unlikely to be cancer.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (27 minutes later)
What potential disease process could it be?
doctor
Answered by Dr. Indranil Ghosh (38 minutes later)
Brief Answer:
Stroke, meningitis or immune mediated

Detailed Answer:
These are some of the possibilities. Neurologist is the best person to answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (21 hours later)
any specific tests I should ask for ?
doctor
Answered by Dr. Indranil Ghosh (4 hours later)
Brief Answer:
Some of the following may be required

Detailed Answer:
A follow up MRI brain.

Lumbar puncture and CSF analysis to rule out infection or autoimmune phenomenon.

But it would all depend upon the evaluation by a neurologist.

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1709 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: Cancer not likely Detailed Answer: Hi Thanks for your query. I understand your concerns. Having sequentially two Bell's palsy is unusual. But it is good that they were mild and almost resolved. I can't see anything to suspect cancer however, as MRI is normal and blood counts are fine. The small lymph nodes are probably benign. As you are having flashes in eye, pulsating in ear and also history of the bells palsy, I would suggest a neurology consult. All of these may be due to multiple cranial nerve involvement by some disease process. But very unlikely to be cancer. Hope this helps. Regards