Question: I'm a 44 year old obese female, I've had many neurological issues (memory loss, tingling in hands, dizziness, headaches, muscle spasms, cognitive issues, eye blurriness, neck pain, back & knee pain, overall body pain, rapid heart rate, overactive reflexes, etc) some symptoms beginning up to 5 years ago but worsening while others beginning over the past year. I had an MRI done, what does it all point to/mean? MS? Alzheimer's? here's the finding:

TECHNIQUE: A contrast-enhanced brain MRI protocol with sagittal 3-D T2 FLAIR images, along with a contrast-enhanced cervical, thoracic and lumbar spine MRI protocol were acquired.

COMPARISON: None.

FINDINGS:
Brain: The ventricles, sulci and cisterns are normal in size, shape and position. No mass is seen and there is no evidence for an intracranial hemorrhage or extra-axial fluid collection. The major intracranial flow voids are patent. A small focus of 
FLAIR hyperintensity is seen along the dorsal lateral wall of the atrium of the right lateral ventricle (series 27, image 66) which is nonspecific and may represent a tiny focus of remote injury but no other lesions are seen elsewhere, and no abnormal 
enhancement is seen throughout the brain or its overlying structures. Diffusion-weighted imaging demonstrates no restricted diffusion to suggest an acute infarction.

The orbits are grossly symmetric and unremarkable. The sinuses are clear. No calvarial lesions are appreciated.

Cervical spine: Marrow signal is mildly heterogeneous without a dominant lesion on STIR imaging. The vertebral bodies are normal in height and alignment. The cervical cord is normal in caliber and signal intensity. No abnormal enhancement is seen within 
the cord or its overlying structures.

At C4-5 there is disc degeneration with a bulge and superimposed herniation centered to the left midline that indents the ventral cord causing mild cord deformity without abnormal cord signal. The foramina are widely patent. Mild bulges are seen at C5-6 
and C6-7 but there is no appreciable central or foraminal stenosis seen elsewhere.

Thoracic spine: There are disc bulges and posterior disc herniations at multiple levels.

Small protrusions are seen posteriorly at the midline that indent the ventral thecal sac. At T4-5 there is mild flattening of the ventral cord to the right of midline.

At T5-6 there is a more prominent focal herniation centered at the midline that projects approximately 3 mm from the level of the annulus and indents the ventral cord.

At T6-7 a right paracentral disc protrusion flattens the right ventral cord. Facet hypertrophic changes with associated ligamentum flavum hypertrophy are seen in the lower thoracic spine, greatest at the T9-10 level though there is only minimal foraminal
 narrowing at this level.

No central or foraminal stenosis is seen elsewhere in the thoracic spine. No abnormal enhancement is seen within the cord or its overlying structures.
Impression
IMPRESSION:
1. No convincing evidence for demyelinating lesions. No abnormal enhancement.
2. Degenerative changes with disc herniations that indent the ventral cord at mid thoracic levels and at C4-5 but no cord lesions to suggest a demyelinating process. No abnormal enhancement throughout the cervical and thoracic cord.

Images and interpretation personally reviewed by: XXXXXXX XXXX
Scanned Test Results
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I've already had all those tests & a million more- so are you saying my problem is not neurological? I think the dr said I can have MS even if no lesions show? Also there's a ton of damage in the spine? How is that non significant?

Dr XXXXXXX
You are my neurologist, you have this report, what are the chances of you answering this? I haven't heard from you so I put the question out here, please see my chart & MRI results, do I need an orthopedic dr? What's causing my issues? The one hyperintensity?

Thank you. So whats likely causing the lack of balance, memory loss, problems doing more than 1 task at a time, etc? The neurologist said something showed with mu pupils as well, he aeemed to think i have MS but you seem to disagree based on mri?