Question: This is my MRI report...Please, can you tell me what all of this means...in layman's terms?
MRI OF BRAIN AND FURTHER SEQUENCES W/WO CON
HISTORY: Increasing frequency of headaches. New onset vertigo.
Technique: MR of the brain without and with contrast. Dedicated imaging of the internal
auditory canals was performed. 20 cc IV Magnevist was administered to the patient
Comparison: None.
FINDINGS: Bilateral internal acoustic canal, 7th and 8th nerve complex, cerebellopontine angle
cistern and the brainstem are unremarkable. A branch of the left anterior inferior cerebellar
artery approaches but does not appear to enter the orifice of the left internal auditory canal
(type I). A branch of the right anterior-inferior cerebral are artery enters the medial aspect
of the right internal auditory canal (type II). No
cranial nerve impingement is visible.
There are a few small juxtacortical and deep white matter FLAIR hyperintensities in the right
frontal lobe. There is no acute hemorrhage. There is no evidence to suggest acute
infarction.
There is no mass effect or midline shift. There is no abnormal focus of enhancement.
Ventricles are symmetric and normal in size. The cerebellar tonsils are normal in position.
There is a mucus retention cyst in the right sphenoid sinus. There is mild mucosal thickening
in the bilateral maxillary sinuses. The remaining visualized
paranasal sinuses are clear. There
is a partially visualized 1.2 cm T1 hypointense, T2 hyperintense structure in the lower left
mastoid. The right mastoid air cells are clear.
Impression
IMPRESSION:
1. No vestibular schwannoma or cerebellopontine angle mass seen.
2. Crossing branches of the bilateral anterior inferior cerebellar arteries, which some believe
may be symptomatic in some patients.
3. Nonspecific white matter signal abnormalities the right frontal lobe. Differential
considerations include infectious and/or inflammatory
white matter disease including chronic
small vessel ischemia, multiple sclerosis,
Lyme disease, small vessel vasculitides such as
Lupus, and migraines, among other etiologies.
4. Partially visualized likely fluid in the lower left mastoid, probably representing
mastoiditis.