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What Does This MRI Report Of Brain Indicate?

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Posted on Tue, 2 Sep 2014
Question: Had mri of head sshowing t2 hypersignall noticeably confluent in frontalparietal region. Noted this is clearly abnormal in this age group. Repeated One Year Later With No changes. Further testing normal except for very high antithyroid antibodies. I'm scared!
doctor
Answered by Dr. Sudhir Kumar (10 minutes later)
Brief Answer:
There is no need to be scared.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your MRI changes and I would like to reassure you that these findings are non-specific and there is no need to worry about them.

This is because there has been no increase in the size or number of lesions in the repeat MRI done after one year gap.

The common reasons for these MRI findings could be migraine or old injury to brain.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sudhir Kumar (20 minutes later)
Could this be dementia so young of age?? That's what the Internet says. I guess it could be ms but that doesn't scare me like dementia does. I'm so scared about that. I don't forget significant things but I am horrible at remembering names and terrible w directions but that's not new
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Unlikely to be dementia.

Detailed Answer:
Thank you for getting back.

The MRI lesions are not suggestive of dementia. So, there is no need to worry about that.

Also, dementia is characterised by progressive loss of memory and worsening of other cognitive functions; your symptoms are not suggestive of dementia.

In conclusion, your MRI findings and symptoms are not suggestive of dementia.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (42 hours later)
I attached mri reports. hopefully u can read them. They make it sound like they're were a lot of lesions that they could see
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
MRI report is not attached.

Detailed Answer:
Thank you for getting back.

MRI report has not been attached. Please re-attach it.

Thanks,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (9 minutes later)
Ok reattached it
doctor
Answered by Dr. Sudhir Kumar (12 minutes later)
Brief Answer:
Seen the report.

Detailed Answer:
Thank you for attaching the MRI brain report.

I have noted the details and I agree that two most important causes are demyelinating illness such as multiple sclerosis and small vessel ischemia (lack of blood flow to brain).

However, in one year, the findings have not increased, so, there is no need to worry. It may suggest findings due to an old problem, and not a new disease. MRI brain should be repeated after one year.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (13 minutes later)
Here is the next one a year later. I currently am assy
doctor
Answered by Dr. Sudhir Kumar (12 minutes later)
Brief Answer:
I can see only one report

Detailed Answer:
Thank you for getting back.

I can see only one MRI report of 2012. If you have another one done in 2013 or 2014, please upload the report.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (19 minutes later)
Ok I attached 2013 report. I am currently asymptomatic but still worries. would it have gotten worse if it was somthing serious? the words in the report scare me like arteriosclerotic encephelopathy
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
No need to worry.

Detailed Answer:
Thank you for getting back with the repeat MRI brain report.

I would like to point out that the two reports are same and there has been no increase in the number of lesions. This rules out any serious brain disease.

The terms described in the report are only "radiological possibilities", however, they are unlikely in a person like you, especially as you are asymptomatic now.

Best wishes,
Dr Sudhir XXXXXXX MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (20 minutes later)
Ok so they're would have been a change by now? I thought they're would be. What could it have been??? what could have happened in the past to me to cause this?? I do have a borderline learning disability struggling with processing new learned info but I did make it through OT school and have a master's degree. have been practicing since 2003
doctor
Answered by Dr. Sudhir Kumar (21 minutes later)
Brief Answer:
Large number of causes

Detailed Answer:
Thank you for getting back.

There are several reasons in the past to cause MRI changes like this. This would include:

1. Migraine,
2. Infections during early childhood,
3. Problems during delivery,
4. Head injury,
5. Lack of blood supply to brain.

I am glad to note that you are doing well.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (1 hour later)
Thank u so much. so in your opinion do u think 1 year with no changes pretty much means it could have been somthing in past? it was definitely an incidental finding as I insisted to my doctor on ordering mri when he didn't feel I need one. and what kind of symptoms would I be seeing based on lesion location if th is were somthing serious?? Also I was worried about some sort of genetic dementia. I am only 35 but still worried. doesn't run in family but that's what the Internet was saying
doctor
Answered by Dr. Sudhir Kumar (7 hours later)
Brief Answer:
Yes, it is due to something in past.

Detailed Answer:
Thank you for getting back.

Yes, I agree that these changes are due to some event in the past and does not represent an active disease.

Based on the lesion location, you could have had weakness of arms or legs, seizures, memory impairment, etc.

So, your MRI findings are incidental and no action is needed at present.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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What Does This MRI Report Of Brain Indicate?

Brief Answer: There is no need to be scared. Detailed Answer: Hi, Thank you for posting your query. I have noted your MRI changes and I would like to reassure you that these findings are non-specific and there is no need to worry about them. This is because there has been no increase in the size or number of lesions in the repeat MRI done after one year gap. The common reasons for these MRI findings could be migraine or old injury to brain. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar