Question: recently had an MRI with impression as follows

Focus of diffusion hyperintensity with equivocal ADC hypointensity which localizes in the region of the right hippocampal tail. No corresponding discrete signal abnormality is identified on other sequences and this finding is felt to be artifactual. No convincing evidence for acute intracranial abnormality.

Scattered foci of T2 signal prolongation within the subcortical and periventricular white matter. This is nonspecific but can be seen in the setting of demyelinating disease, infectious/inflammatory processes such as Lyme disease, migraines or other vasculopathies, or gliosis of another etiology.

ive had loss of strength facial numbess and tingling, stabbing burning pains in different areas of my body

My appointment seems so far off. can a nyone helpo me understand this Please? Is this likely MS?

Reason for Exam
paresthesia

Powerscribe Read
MRI BRAIN WITH AND WITHOUT CONTRAST

CLINICAL STATEMENT: Generalized weakness and pain. Occasional numbness into hands, thighs, and face for one month, left side greater than right. No history of surgery or malignancy.

COMPARISON: No prior brain imaging is available for comparison at this institution.

TECHNIQUE: Multiplanar, multisequence MRI of the brain was performed before and after the administration of intravenous contrast.

FINDINGS:


MRI


There is a focus of diffusion hyperintensity with equivocal ADC hypointensity which localizes near the hippocampal tail. No corresponding discrete signal abnormality is identified on other sequences and this finding is felt to be artifactual. Otherwise, no other areas of restricted diffusion.

Apparent focus of susceptibility hypointensity within the left cerebellar hemisphere is secondary from volume averaging from the adjacent suboccipital bone. There is a subtle enhancing, tubular structure within the right posterior centrum semiovale which likely represents a medullary vein. Scattered periventricular and subcortical white matter T2 hyperintensities are nonspecific.

There is no acute infarction, hemorrhage, or mass lesion. No abnormal areas of parenchymal enhancement. No extra-axial blood or fluid collection is present. The ventricles and sulci appear normal in size and configuration. The brainstem, posterior fossa, and craniocervical junction appear unremarkable.

The V4 segment of the right vertebral artery is smaller in caliber when compared to the left. Otherwise, gross normal flow voids are identified within the major proximal vessels of the intracranial circulation. No destructive osseous lesion. Mucosal thickening within the bilateral ethmoid air cells. The remaining imaged paranasal sinuses appear well-pneumatized. The mastoid air cells are clear. The paranasal sinuses appear well aerated. The orbits are unremarkable.

Partially empty sella noted. There is apparent tiny enhancing focus at the midline nasopharynx/anterior clivus which is likely of doubtful clinical significance and may represent normal enhancing mucosa.

IMPRESSION:

MRI



Focus of diffusion hyperintensity with equivocal ADC hypointensity which localizes in the region of the right hippocampal tail. No corresponding discrete signal abnormality is identified on other sequences and this finding is felt to be artifactual. No convincing evidence for acute intracranial abnormality.

Scattered foci of T2 signal prolongation within the subcortical and periventricular white matter. This is nonspecific but can be seen in the setting of demyelinating disease, infectious/inflammatory processes such as Lyme disease, migraines or other vasculopathies, or gliosis of another etiology.
.




not sure how to upload my scans, I have the disc. this is the full report, they did do both scans with and without the XXXXXXX

does this change anything?

Hi, I have provided some attachments. Please review them.