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, Hello I Had An MRI DONE Recently. This Is
Question: , hello I had an MRI DONE recently. This is what they said: T2 FLAIR signal hypertensity changes are noted in the periventricular and deep white matter, most severe around the right atria. Probably small vessel ischemic disease. However other etiologies include sequealae of inflamation/infection, demyelinating disease. Disorder ie( multiple sclerosis).. Does this mean I have M. S....? My pain management doctor said it is most likely M. S... HOW Long after diagnosis is the expected mortality rate..? Thank you for your time. I have also included my scans. Sometimes they do not come through. Traci
, hello I had an MRI DONE recently. This is what they said: T2 FLAIR signal hypertensity changes are noted in the periventricular and deep white matter, most severe around the right atria. Probably small vessel ischemic disease. However other etiologies include sequealae of inflamation/infection, demyelinating disease. Disorder ie( multiple sclerosis).. Does this mean I have M. S....? My pain management doctor said it is most likely M. S... HOW Long after diagnosis is the expected mortality rate..? Thank you for your time. I have also included my scans. Sometimes they do not come through. Traci
Brief Answer:
MRI read by radiologist appears NOT TO FAVOR MS as likely diagnosis
Detailed Answer:
Hello young lady. Sorry, you're being troubled by all the technical jargon but that's one reason why it's best to not try and read or interpret such studies unless you are used to the way things are done and understand the terminology...AND....understand the pathophysiology, anatomy, and variations of normal, etc. that each scan represents or tries to represent. Kind of a tall order of things to check off before reading an MRI scan if you're not a DOCTOR! LOL.....
And so, you should know the following:
1. Radiologist are obligated to call any and everything they see on scans no matter how insignificant they think it might be because they typically don't know the patients medically speaking and therefore, thinking something on the scan is not that important may be erroneous. So the upshot is they will call EVERY SINGLE LITTLE BLESSED THING they see....sometimes they'll have us repeat scans because they are NOT QUITE SURE whether what they see is accurate or is just an artificat. So not everything written an MRI report is relevant, means that something is pathological, or should really have been reported in the first place.
2. Radiologists will tend not only to make calls of what they see but they'll also give some a LIST OF POSSIBILITIES of diagnoses that are consistent with the radiographic findings (i.e. what they see). This is a double edged sword for people who don't really know how to interpret scans since many lay folk think that the DIFFERENTIAL DIAGNOSTIC LIST is the REALITY of why they have. Radiologists are only trying to help the doctor who referred the patient by giving a few names of diseases or infirmities that might have the same looking picture. That's kind different from the primary doctor or specialist saying, "Miss So and So.....You HAVE, X, Y, or Z." Get my drift?
3. IMAGING STUDIES of the brain or spinal cord RARELY GIVE A PERFECT diagnosis just based on what is being imaged. Of course, that's not true if the person has a huge honker of a tumor in the middle of the frontal or parietal lobe that lights up like a Christmas Tree with the gadolinium....that...you can kind of catch the diagnosis JUST WITH THE SCAN.....so be it......but virtually everything else REQUIRES clinical data and information as to why the scan was done, how the symptoms have evolved, how other hypotheses have been looked at as well, etc. In the case of MS, imaging studies by themselves NEVER EVER make the diagnosis....the doctor/clinician makes that call.
In your particular case the radiologist has stated that in their opinion the white matter degeneration (which by the way happens even under NORMAL circumstances...as a result of AGING, demyelination by medications, lack of nutritional elements, smoking, hypertension, diabetes, etc. Get the idea?
And so the important questions to ask in your case have to do with WHY DID YOU GET THE SCAN in the first place? Was it based on a single symptom, a group of symptoms, did these symptoms evolve over time or were they 1 and done types of deals?
The report says that there is some loss of white matter integrity in the area of the periventricular and deep white matter (deeper portions of the brain) and is most PROMINENT (would've been my choice of words) in an area called the ATRIA of the right lateral ventricle. Not sure why your pain management doctor would choose to make the call to say it's MS instead of a neurologist....but if you carefully read the radiologist's opinion, it says that you probably have SMALL VESSEL ISCHEMIC DISEASE.
Having said that I am not at all saying that the radiographic finding COULDN'T BE MS related but it would not be the most common explanation for what they are seeing on the MRI. Again, you've not given any symptoms or things that are going on to have prompted the scan in the first place. Nor am I able to see the full set of scans.
I understand you may have uploaded some scans to another doctor on this network. People always make the tempting mistake of sending 1 or 2 images from an MRI expecting to get a diagnosis. It is not possible to read MRI's like that without the chance of making a mistake. There can be up to 600 or 700 images in a study. Every one should be looked at and evaluated before coming up with a diagnosis (RADIOGRAPHIC DIAGNOSIS that is).
So unless, you were thinking of coming up to XXXXXXX OH in the near future and bringing the whole disk with you I don't think I can even do the study justice by trying to read 1 or 2 images.
Bottom line my dear is that there is no way anyone on the green Earth beneath our feet that anyone can make a diagnosis of MS based SOLELY upon the MRI study that you are sharing. Anybody who does is committing an error of judgement....We need clinical information, we need to see the study in its ENTIREMENT, and we need to see certain lab findings.....THEN, we start getting closer to having the right information along with a PHYSICAL EXAMINATION (wanna come and visit lovely XXXXXXX OH in the summer?).....
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 32 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 38 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
MRI read by radiologist appears NOT TO FAVOR MS as likely diagnosis
Detailed Answer:
Hello young lady. Sorry, you're being troubled by all the technical jargon but that's one reason why it's best to not try and read or interpret such studies unless you are used to the way things are done and understand the terminology...AND....understand the pathophysiology, anatomy, and variations of normal, etc. that each scan represents or tries to represent. Kind of a tall order of things to check off before reading an MRI scan if you're not a DOCTOR! LOL.....
And so, you should know the following:
1. Radiologist are obligated to call any and everything they see on scans no matter how insignificant they think it might be because they typically don't know the patients medically speaking and therefore, thinking something on the scan is not that important may be erroneous. So the upshot is they will call EVERY SINGLE LITTLE BLESSED THING they see....sometimes they'll have us repeat scans because they are NOT QUITE SURE whether what they see is accurate or is just an artificat. So not everything written an MRI report is relevant, means that something is pathological, or should really have been reported in the first place.
2. Radiologists will tend not only to make calls of what they see but they'll also give some a LIST OF POSSIBILITIES of diagnoses that are consistent with the radiographic findings (i.e. what they see). This is a double edged sword for people who don't really know how to interpret scans since many lay folk think that the DIFFERENTIAL DIAGNOSTIC LIST is the REALITY of why they have. Radiologists are only trying to help the doctor who referred the patient by giving a few names of diseases or infirmities that might have the same looking picture. That's kind different from the primary doctor or specialist saying, "Miss So and So.....You HAVE, X, Y, or Z." Get my drift?
3. IMAGING STUDIES of the brain or spinal cord RARELY GIVE A PERFECT diagnosis just based on what is being imaged. Of course, that's not true if the person has a huge honker of a tumor in the middle of the frontal or parietal lobe that lights up like a Christmas Tree with the gadolinium....that...you can kind of catch the diagnosis JUST WITH THE SCAN.....so be it......but virtually everything else REQUIRES clinical data and information as to why the scan was done, how the symptoms have evolved, how other hypotheses have been looked at as well, etc. In the case of MS, imaging studies by themselves NEVER EVER make the diagnosis....the doctor/clinician makes that call.
In your particular case the radiologist has stated that in their opinion the white matter degeneration (which by the way happens even under NORMAL circumstances...as a result of AGING, demyelination by medications, lack of nutritional elements, smoking, hypertension, diabetes, etc. Get the idea?
And so the important questions to ask in your case have to do with WHY DID YOU GET THE SCAN in the first place? Was it based on a single symptom, a group of symptoms, did these symptoms evolve over time or were they 1 and done types of deals?
The report says that there is some loss of white matter integrity in the area of the periventricular and deep white matter (deeper portions of the brain) and is most PROMINENT (would've been my choice of words) in an area called the ATRIA of the right lateral ventricle. Not sure why your pain management doctor would choose to make the call to say it's MS instead of a neurologist....but if you carefully read the radiologist's opinion, it says that you probably have SMALL VESSEL ISCHEMIC DISEASE.
Having said that I am not at all saying that the radiographic finding COULDN'T BE MS related but it would not be the most common explanation for what they are seeing on the MRI. Again, you've not given any symptoms or things that are going on to have prompted the scan in the first place. Nor am I able to see the full set of scans.
I understand you may have uploaded some scans to another doctor on this network. People always make the tempting mistake of sending 1 or 2 images from an MRI expecting to get a diagnosis. It is not possible to read MRI's like that without the chance of making a mistake. There can be up to 600 or 700 images in a study. Every one should be looked at and evaluated before coming up with a diagnosis (RADIOGRAPHIC DIAGNOSIS that is).
So unless, you were thinking of coming up to XXXXXXX OH in the near future and bringing the whole disk with you I don't think I can even do the study justice by trying to read 1 or 2 images.
Bottom line my dear is that there is no way anyone on the green Earth beneath our feet that anyone can make a diagnosis of MS based SOLELY upon the MRI study that you are sharing. Anybody who does is committing an error of judgement....We need clinical information, we need to see the study in its ENTIREMENT, and we need to see certain lab findings.....THEN, we start getting closer to having the right information along with a PHYSICAL EXAMINATION (wanna come and visit lovely XXXXXXX OH in the summer?).....
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 32 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 38 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
MRI read by radiologist appears NOT TO FAVOR MS as likely diagnosis
Detailed Answer:
Hello young lady. Sorry, you're being troubled by all the technical jargon but that's one reason why it's best to not try and read or interpret such studies unless you are used to the way things are done and understand the terminology...AND....understand the pathophysiology, anatomy, and variations of normal, etc. that each scan represents or tries to represent. Kind of a tall order of things to check off before reading an MRI scan if you're not a DOCTOR! LOL.....
And so, you should know the following:
1. Radiologist are obligated to call any and everything they see on scans no matter how insignificant they think it might be because they typically don't know the patients medically speaking and therefore, thinking something on the scan is not that important may be erroneous. So the upshot is they will call EVERY SINGLE LITTLE BLESSED THING they see....sometimes they'll have us repeat scans because they are NOT QUITE SURE whether what they see is accurate or is just an artificat. So not everything written an MRI report is relevant, means that something is pathological, or should really have been reported in the first place.
2. Radiologists will tend not only to make calls of what they see but they'll also give some a LIST OF POSSIBILITIES of diagnoses that are consistent with the radiographic findings (i.e. what they see). This is a double edged sword for people who don't really know how to interpret scans since many lay folk think that the DIFFERENTIAL DIAGNOSTIC LIST is the REALITY of why they have. Radiologists are only trying to help the doctor who referred the patient by giving a few names of diseases or infirmities that might have the same looking picture. That's kind different from the primary doctor or specialist saying, "Miss So and So.....You HAVE, X, Y, or Z." Get my drift?
3. IMAGING STUDIES of the brain or spinal cord RARELY GIVE A PERFECT diagnosis just based on what is being imaged. Of course, that's not true if the person has a huge honker of a tumor in the middle of the frontal or parietal lobe that lights up like a Christmas Tree with the gadolinium....that...you can kind of catch the diagnosis JUST WITH THE SCAN.....so be it......but virtually everything else REQUIRES clinical data and information as to why the scan was done, how the symptoms have evolved, how other hypotheses have been looked at as well, etc. In the case of MS, imaging studies by themselves NEVER EVER make the diagnosis....the doctor/clinician makes that call.
In your particular case the radiologist has stated that in their opinion the white matter degeneration (which by the way happens even under NORMAL circumstances...as a result of AGING, demyelination by medications, lack of nutritional elements, smoking, hypertension, diabetes, etc. Get the idea?
And so the important questions to ask in your case have to do with WHY DID YOU GET THE SCAN in the first place? Was it based on a single symptom, a group of symptoms, did these symptoms evolve over time or were they 1 and done types of deals?
The report says that there is some loss of white matter integrity in the area of the periventricular and deep white matter (deeper portions of the brain) and is most PROMINENT (would've been my choice of words) in an area called the ATRIA of the right lateral ventricle. Not sure why your pain management doctor would choose to make the call to say it's MS instead of a neurologist....but if you carefully read the radiologist's opinion, it says that you probably have SMALL VESSEL ISCHEMIC DISEASE.
Having said that I am not at all saying that the radiographic finding COULDN'T BE MS related but it would not be the most common explanation for what they are seeing on the MRI. Again, you've not given any symptoms or things that are going on to have prompted the scan in the first place. Nor am I able to see the full set of scans.
I understand you may have uploaded some scans to another doctor on this network. People always make the tempting mistake of sending 1 or 2 images from an MRI expecting to get a diagnosis. It is not possible to read MRI's like that without the chance of making a mistake. There can be up to 600 or 700 images in a study. Every one should be looked at and evaluated before coming up with a diagnosis (RADIOGRAPHIC DIAGNOSIS that is).
So unless, you were thinking of coming up to XXXXXXX OH in the near future and bringing the whole disk with you I don't think I can even do the study justice by trying to read 1 or 2 images.
Bottom line my dear is that there is no way anyone on the green Earth beneath our feet that anyone can make a diagnosis of MS based SOLELY upon the MRI study that you are sharing. Anybody who does is committing an error of judgement....We need clinical information, we need to see the study in its ENTIREMENT, and we need to see certain lab findings.....THEN, we start getting closer to having the right information along with a PHYSICAL EXAMINATION (wanna come and visit lovely XXXXXXX OH in the summer?).....
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 32 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 38 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
MRI read by radiologist appears NOT TO FAVOR MS as likely diagnosis
Detailed Answer:
Hello young lady. Sorry, you're being troubled by all the technical jargon but that's one reason why it's best to not try and read or interpret such studies unless you are used to the way things are done and understand the terminology...AND....understand the pathophysiology, anatomy, and variations of normal, etc. that each scan represents or tries to represent. Kind of a tall order of things to check off before reading an MRI scan if you're not a DOCTOR! LOL.....
And so, you should know the following:
1. Radiologist are obligated to call any and everything they see on scans no matter how insignificant they think it might be because they typically don't know the patients medically speaking and therefore, thinking something on the scan is not that important may be erroneous. So the upshot is they will call EVERY SINGLE LITTLE BLESSED THING they see....sometimes they'll have us repeat scans because they are NOT QUITE SURE whether what they see is accurate or is just an artificat. So not everything written an MRI report is relevant, means that something is pathological, or should really have been reported in the first place.
2. Radiologists will tend not only to make calls of what they see but they'll also give some a LIST OF POSSIBILITIES of diagnoses that are consistent with the radiographic findings (i.e. what they see). This is a double edged sword for people who don't really know how to interpret scans since many lay folk think that the DIFFERENTIAL DIAGNOSTIC LIST is the REALITY of why they have. Radiologists are only trying to help the doctor who referred the patient by giving a few names of diseases or infirmities that might have the same looking picture. That's kind different from the primary doctor or specialist saying, "Miss So and So.....You HAVE, X, Y, or Z." Get my drift?
3. IMAGING STUDIES of the brain or spinal cord RARELY GIVE A PERFECT diagnosis just based on what is being imaged. Of course, that's not true if the person has a huge honker of a tumor in the middle of the frontal or parietal lobe that lights up like a Christmas Tree with the gadolinium....that...you can kind of catch the diagnosis JUST WITH THE SCAN.....so be it......but virtually everything else REQUIRES clinical data and information as to why the scan was done, how the symptoms have evolved, how other hypotheses have been looked at as well, etc. In the case of MS, imaging studies by themselves NEVER EVER make the diagnosis....the doctor/clinician makes that call.
In your particular case the radiologist has stated that in their opinion the white matter degeneration (which by the way happens even under NORMAL circumstances...as a result of AGING, demyelination by medications, lack of nutritional elements, smoking, hypertension, diabetes, etc. Get the idea?
And so the important questions to ask in your case have to do with WHY DID YOU GET THE SCAN in the first place? Was it based on a single symptom, a group of symptoms, did these symptoms evolve over time or were they 1 and done types of deals?
The report says that there is some loss of white matter integrity in the area of the periventricular and deep white matter (deeper portions of the brain) and is most PROMINENT (would've been my choice of words) in an area called the ATRIA of the right lateral ventricle. Not sure why your pain management doctor would choose to make the call to say it's MS instead of a neurologist....but if you carefully read the radiologist's opinion, it says that you probably have SMALL VESSEL ISCHEMIC DISEASE.
Having said that I am not at all saying that the radiographic finding COULDN'T BE MS related but it would not be the most common explanation for what they are seeing on the MRI. Again, you've not given any symptoms or things that are going on to have prompted the scan in the first place. Nor am I able to see the full set of scans.
I understand you may have uploaded some scans to another doctor on this network. People always make the tempting mistake of sending 1 or 2 images from an MRI expecting to get a diagnosis. It is not possible to read MRI's like that without the chance of making a mistake. There can be up to 600 or 700 images in a study. Every one should be looked at and evaluated before coming up with a diagnosis (RADIOGRAPHIC DIAGNOSIS that is).
So unless, you were thinking of coming up to XXXXXXX OH in the near future and bringing the whole disk with you I don't think I can even do the study justice by trying to read 1 or 2 images.
Bottom line my dear is that there is no way anyone on the green Earth beneath our feet that anyone can make a diagnosis of MS based SOLELY upon the MRI study that you are sharing. Anybody who does is committing an error of judgement....We need clinical information, we need to see the study in its ENTIREMENT, and we need to see certain lab findings.....THEN, we start getting closer to having the right information along with a PHYSICAL EXAMINATION (wanna come and visit lovely XXXXXXX OH in the summer?).....
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 32 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating if you feel so inclined? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. I'm also very interested in knowing how things turn out for you if you get any testing or evaluations done so drop me a line young lady. :0
This query has utilized a total of 38 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the neurologist sent me for mri to rule out demylinating disease. i have symptoms common with MS ..weakness. unsteadiness. forgetfullness and recall. if you send me an email I can send you scans . but it appears you are not interested in further help with my issue.
the neurologist sent me for mri to rule out demylinating disease. i have symptoms common with MS ..weakness. unsteadiness. forgetfullness and recall. if you send me an email I can send you scans . but it appears you are not interested in further help with my issue.
Brief Answer:
Sent to r/o demyelinating disease
Detailed Answer:
Thank you for your clarifications and I'm sorry you somehow got the idea that I wasn't interested in continuing to answer questions. I suspect you are referring to the last couple of paragraphs of the response which some doctors will put at the end of their consults as a friendly reminder to patients that we do GREATLY APPRECIATE POSITIVE feedback to the consults as well as patients CLOSING their queries as soon as possible if they've received all the information they're looking to obtain.
Certainly, if more questions or comments are still around to be answered I'm more than eager to answer them especially since the style of question you're asking gives each patient up to 3 follow up questions they may ask before needing to close the question and reopen another one.
As far as emailing the scans...that's not possible mainly due to there being a violation of HIPAA when physicians communicate with patients using anything but specially secured and encrypted lines. I do not have a HIPAA secure email server so any images you send over the internet can potentially be hacked and the information used for nefarious purposes. If other doctors offer to use regular email lines for this purpose I caution you not to send anything over open internet lines which you would not want published or used in some unintended way since these types of things happen all the time and result in identity theft and other treacherous activities.
This network site is secured to the point, however, where you could UPLOAD the RADIOLOGIST'S REPORT as a PDF file and I'd be very happy to review and give you an opinion on what was said.
So, without seeing at least the MRI report of your brain I would have to hold to the original comments on the fact that even though your neurologist sent you for ruling out MS and/or demyelinating disease....the radiologist seems to believe that the most likely radiographic finding of the white matter deterioration is consistent with MICROVASCULAR DISEASE or ischemia.
Having said that I also think it is your neurologist's decision and responsibility to make the final clinical call of whether you do or don't have some type of demyelinating disease such as MS by putting the radiographic report with the clinical information he has at hand. Make sense?
That's also why I said that I don't see why the Pain Management doctor wanted to make a call of MS since he's NOT the neurologist.
Wishing you all the best.
Please let me know if there are more questions or information that you'd like to ask on this query. If you can upload the MRI report I'd be happy to read and opine on it as well.
Cheers!
This query has utilized a total of 67 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Sent to r/o demyelinating disease
Detailed Answer:
Thank you for your clarifications and I'm sorry you somehow got the idea that I wasn't interested in continuing to answer questions. I suspect you are referring to the last couple of paragraphs of the response which some doctors will put at the end of their consults as a friendly reminder to patients that we do GREATLY APPRECIATE POSITIVE feedback to the consults as well as patients CLOSING their queries as soon as possible if they've received all the information they're looking to obtain.
Certainly, if more questions or comments are still around to be answered I'm more than eager to answer them especially since the style of question you're asking gives each patient up to 3 follow up questions they may ask before needing to close the question and reopen another one.
As far as emailing the scans...that's not possible mainly due to there being a violation of HIPAA when physicians communicate with patients using anything but specially secured and encrypted lines. I do not have a HIPAA secure email server so any images you send over the internet can potentially be hacked and the information used for nefarious purposes. If other doctors offer to use regular email lines for this purpose I caution you not to send anything over open internet lines which you would not want published or used in some unintended way since these types of things happen all the time and result in identity theft and other treacherous activities.
This network site is secured to the point, however, where you could UPLOAD the RADIOLOGIST'S REPORT as a PDF file and I'd be very happy to review and give you an opinion on what was said.
So, without seeing at least the MRI report of your brain I would have to hold to the original comments on the fact that even though your neurologist sent you for ruling out MS and/or demyelinating disease....the radiologist seems to believe that the most likely radiographic finding of the white matter deterioration is consistent with MICROVASCULAR DISEASE or ischemia.
Having said that I also think it is your neurologist's decision and responsibility to make the final clinical call of whether you do or don't have some type of demyelinating disease such as MS by putting the radiographic report with the clinical information he has at hand. Make sense?
That's also why I said that I don't see why the Pain Management doctor wanted to make a call of MS since he's NOT the neurologist.
Wishing you all the best.
Please let me know if there are more questions or information that you'd like to ask on this query. If you can upload the MRI report I'd be happy to read and opine on it as well.
Cheers!
This query has utilized a total of 67 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Sent to r/o demyelinating disease
Detailed Answer:
Thank you for your clarifications and I'm sorry you somehow got the idea that I wasn't interested in continuing to answer questions. I suspect you are referring to the last couple of paragraphs of the response which some doctors will put at the end of their consults as a friendly reminder to patients that we do GREATLY APPRECIATE POSITIVE feedback to the consults as well as patients CLOSING their queries as soon as possible if they've received all the information they're looking to obtain.
Certainly, if more questions or comments are still around to be answered I'm more than eager to answer them especially since the style of question you're asking gives each patient up to 3 follow up questions they may ask before needing to close the question and reopen another one.
As far as emailing the scans...that's not possible mainly due to there being a violation of HIPAA when physicians communicate with patients using anything but specially secured and encrypted lines. I do not have a HIPAA secure email server so any images you send over the internet can potentially be hacked and the information used for nefarious purposes. If other doctors offer to use regular email lines for this purpose I caution you not to send anything over open internet lines which you would not want published or used in some unintended way since these types of things happen all the time and result in identity theft and other treacherous activities.
This network site is secured to the point, however, where you could UPLOAD the RADIOLOGIST'S REPORT as a PDF file and I'd be very happy to review and give you an opinion on what was said.
So, without seeing at least the MRI report of your brain I would have to hold to the original comments on the fact that even though your neurologist sent you for ruling out MS and/or demyelinating disease....the radiologist seems to believe that the most likely radiographic finding of the white matter deterioration is consistent with MICROVASCULAR DISEASE or ischemia.
Having said that I also think it is your neurologist's decision and responsibility to make the final clinical call of whether you do or don't have some type of demyelinating disease such as MS by putting the radiographic report with the clinical information he has at hand. Make sense?
That's also why I said that I don't see why the Pain Management doctor wanted to make a call of MS since he's NOT the neurologist.
Wishing you all the best.
Please let me know if there are more questions or information that you'd like to ask on this query. If you can upload the MRI report I'd be happy to read and opine on it as well.
Cheers!
This query has utilized a total of 67 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Sent to r/o demyelinating disease
Detailed Answer:
Thank you for your clarifications and I'm sorry you somehow got the idea that I wasn't interested in continuing to answer questions. I suspect you are referring to the last couple of paragraphs of the response which some doctors will put at the end of their consults as a friendly reminder to patients that we do GREATLY APPRECIATE POSITIVE feedback to the consults as well as patients CLOSING their queries as soon as possible if they've received all the information they're looking to obtain.
Certainly, if more questions or comments are still around to be answered I'm more than eager to answer them especially since the style of question you're asking gives each patient up to 3 follow up questions they may ask before needing to close the question and reopen another one.
As far as emailing the scans...that's not possible mainly due to there being a violation of HIPAA when physicians communicate with patients using anything but specially secured and encrypted lines. I do not have a HIPAA secure email server so any images you send over the internet can potentially be hacked and the information used for nefarious purposes. If other doctors offer to use regular email lines for this purpose I caution you not to send anything over open internet lines which you would not want published or used in some unintended way since these types of things happen all the time and result in identity theft and other treacherous activities.
This network site is secured to the point, however, where you could UPLOAD the RADIOLOGIST'S REPORT as a PDF file and I'd be very happy to review and give you an opinion on what was said.
So, without seeing at least the MRI report of your brain I would have to hold to the original comments on the fact that even though your neurologist sent you for ruling out MS and/or demyelinating disease....the radiologist seems to believe that the most likely radiographic finding of the white matter deterioration is consistent with MICROVASCULAR DISEASE or ischemia.
Having said that I also think it is your neurologist's decision and responsibility to make the final clinical call of whether you do or don't have some type of demyelinating disease such as MS by putting the radiographic report with the clinical information he has at hand. Make sense?
That's also why I said that I don't see why the Pain Management doctor wanted to make a call of MS since he's NOT the neurologist.
Wishing you all the best.
Please let me know if there are more questions or information that you'd like to ask on this query. If you can upload the MRI report I'd be happy to read and opine on it as well.
Cheers!
This query has utilized a total of 67 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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