I had an mri as part of the tests Im having for uveitis. I can access my test results throught the patient portal and got absolutely blindsided by the report:
Findings:
Non-contrast MRI head and MRI orbits with contrast
There is no previous comparative cranial imaging.
There are several T2/FLAIR bright lesions noted in bilateral periventricular white matter. Most of them are oriented perpendicular to the long axis of the lateral ventricles. Few lesions also shown involving the corpus callosum and callososeptal interphase. Some of the lesions are located in juxtacortical location. One of the lesions in the left temporal region shows evidence of restricted diffusion. No definite lesions involving the brainstem or posterior fossa.
No intracranial space-occupying lesion or haemorrhage. No acute or established ischaemia.
Grossly normal ventricular size. Normal basal cisterns. There is no mass effect.
Intracranial vascular flow voids are within normal limits.
Grossly symmetrical bilateral globes and extraocular muscles. Suspicious mild uveal tract enhancement in both globes on postcontrast sequences. There is evidence of restricted diffusion from the left retrobulbar fat with possible minimal postcontrast enhancement. Suspicious abnormal signal within the left globe posterior chamber on the ADC map images from underlying uveitis. No abnormal contrast enhancement or signal abnormality within the optic nerves. No obvious features of acute optic neuritis. No restricted diffusion within the optic nerve itself. Bilateral retrobulbar and intracanalicular optic nerves appear grossly symmetrical. No associated optic nerve sheath dilatation bilaterally.
Intact bilateral orbital apices.
Normal sella and parasellar structures.
Conclusion:
MR appearances in keeping with several demyelinating lesions within the brain parenchyma with typical appearances of MS with moderate lesion load.
Appearances within the left globe in keeping with uveitis with associated inflammation in the retrobulbar fat. No definite involvement of the optic nerve. There are no features of optic neuritis
Now im waiting a neurology appointment, which has been delayed once already (3 weeks to go now)
Im driving myself crazy, I dont want to discuss it with anyone as nothing is confirmed. I’ve had some random issues like fatigue (bloods always came back normal) pins and needles/numbness, electric pain down my leg and brain fog. Everything seemed so unrelated it never occured to me they could be related so I just got on with it. Now im second guessing everything which I know is stupid as it might not be anything but i can’t stop over thinking!
I think I just needed to get all this off my chest. Thanks to anyone who read this far in my ramblings.