Forum

mri please can you read it!!

brain,venticular configuration normal.no midline shift or mass effect.several small foci of increased white matter signal are shown in both hemispheres best appreciated on the coronal flair images.although not spescific these are taken to represent foci of ischaemic gliosis.no mass or other lesion shown,brain stem and cerebellum appear normal.conclusion: multiple foci of increased signal in the white matter biaterally.these are takrn to represent foci of ischaemic gliosis but the differential diagnosis would include demylation.

spine cervical.sagittal t1/t2 with axial t2 sections obtained.

normal vertebral alignment.neural canal appears of adequate size.craniocervical juntion is normal.

there is a shallow disc protusion favouring the left side at c6/7.this encroaches upon but does not compress the cord and the exit foramina appear adequate.there is a similar but lessprominant disc protusion at c5/6 in the midline. endplate osteophytes are shown at c4/5.no compressve lesion is identified.

conclusion: degenerative disc decease maximal between c5 and 7 but no compressive lesion seen.

i would be so grateful to hear any thought ,here i am very fotunate to have both mri reports from my neurologist,however he is leaving it as no evidence of ms,but says i can go back,but still the somatising is being used,i am at present feeling very stressed with it all,and have gone up a dose of gabapentin,why?i am asking myself is my gp allowing me to up a dose,if they still want to follow soma,when only a few months ago,i was thought to be fibromyalgia,i have so many different diagnoses,becuase of no evevdence,and suggestive notes on my records of worry,i have had quite a long disgruntled conversation with gp,about being put in a pigeon hole,and getting labeled and stuck there,i am so so tired with it all.i do now have scars and rthickening on my chest exray and ct scan,they thought it was bronchiectasis,but now are unsure,means i am susepitple to infections.help anyone i am giving in .

love bozxxx

Hello boz,

I’m afraid I cannot help you read your MRI or understand what you have written. What I would do is see another gp, show them the letter and ask them to explain it to you.

I’m sure there are people on here that will be able to help you far better than I can, but please don’t give up.

We are here for you.

Janet

hello janet,

i have copied the reports of both the mris as they are written,i am sure my post is terriably confusuing,i can’t followed ,thankyou for your help and advice,after nearly two years i can’t really understand why he has taken this approach,maybe the help of my gp i don’t really know.i am trying to send as much as i can to my neurologist as he doesn’t have all the reports from my hospital,i see him in neighboring county,as i went privatley,then got transfered over to nhs with him,i am just very saddened with the outcome.thankyou for reading my post .

love bozxxx

Hi boz,

I would try and see your GP again…or maybe get another referral to a different neuro if you can…sorry I’m not much help!

At least you got the results of your MRI. I have not got mine…just a copy of a letter from my neuro…telling me no sinister signs…and they can do nothing for me…

Wish you well, and good luck,

Wendy.

Hi Boz.

I can interpret your MRI report, but not fully I’m afraid. Here you go:

“ventricular configuration normal”: the ventricles are the lakes of CSF in the brain. The structure of yours was normal.

“no midline shift”: the line down the middle of the two halves of your brain is straight, i.e. normal.

“no mass effect”: nothing that is taking up space in the brain (e.g. a tumour).

“several small foci of increased white matter signal are shown in both hemispheres best appreciated on the coronal flair images”: several very small round spots of damage in the white matter of both halves of your brain (the outer layer of the brain is gray matter where all the processing, storage, “thinking”, etc is done; inside that is white matter which does the communicating between different bits of gray matter). Coronal is one of the directions that images can be taken. Coronal is slices of the brain taken from top to bottom through both eyes, and then from the front of the head to the back (or vice versa). FLAIR is a type of scan that shows up lesions particularly well.

“although not spescific”: not specific basically means not pointing towards a particular condition.

“foci of ischaemic gliosis” is where I struggle a bit, sorry. Foci means small spots. Gliosis is basically a repair process, like scarring. Ischaemic means to do with blood supply. I think ischaemic gliosis has to do with things like strokes, but stroke lesions are not normally so small, so perhaps it’s more to do with TIA (transient ischaemic attacks) which are small strokes? I really could be talking rubbish here though!

“no mass or other lesion shown”: no tumours or other damage

“brain stem and cerebellum appear normal”: the brain stem is at the top of the spinal cord; the cerebellum is the roundish, wrinkly bit behind the brain stem and underneath the big bit of the brain (the cerebrum, which everyone thinks of as the brain) - yours are fine.

“multiple foci of increased signal in the white matter biaterally.these are takrn to represent foci of ischaemic gliosis but the differential diagnosis would include demylation.”: several small spots in both sides of the brain’s white matter are assumed to be ischaemic gliosis, but it’s possible that it could be demyelination (which is the process which causes the damage in MS, and other demyelinating conditions).

“spine cervical.sagittal t1/t2 with axial t2 sections obtained.”: this is just what scans were done; sagittal and axial are directions the images were taken (coronal is the third direction) and T1 and T2 are types of scan.

“normal vertebral alignment.neural canal appears of adequate size.craniocervical juntion is normal.”: your neck bones are where they should be, the space for the spinal cord isn’t too narrow, where the brain and the neck meet is fine.

“there is a shallow disc protusion favouring the left side at c6/7.this encroaches upon but does not compress the cord and the exit foramina appear adequate.”: the bit between the C6 & C7 vertebrae has bulged out so that it touches the spinal cord, but it hasn’t changed its shape and hasn’t affected where the nerves come off the cord. (This would suggest that it wouldn’t cause neurological symptoms.)

“there is a similar but lessprominant disc protusion at c5/6 in the midline.”: you have another one of these a bit higher up your neck

“endplate osteophytes are shown at c4/5.no compressve lesion is identified.”: you some bony spurs (basically little sticky out bits of bone where they shouldn’t be) a bit higher up still. Despite all this, nothing is pressing on the spinal cord.

“conclusion: degenerative disc decease maximal between c5 and 7 but no compressive lesion seen.”: your neck has a lot of wear and tear which is worst between the C5 and C7 vertebrae (low in the neck), but nothing is pressing on the spinal cord.

Please remember that I am not a neuro or even a medic. With this in mind, I do not believe that you should just be discharged with these MRI results. I think the gliosis needs to be properly investigated and I think you should see someone about your spinal degeneration too. It may not be MS, but it’s not nothing.

Hth!

Karen x

Thats what we have all been missing Rizzo…thank you.

Pip

thankyou pip and wendy,and so thankful to you karen for sifting through all my mris reports and trying to desifer all the meanings,i just couldn’t understand it,just too complicated,but i am just so thankful to you,and you have given me a new breath and a new hope,i am trying desperatley to gather my lower lumbar mri report and letters to pass on to my neuro,in the hope he will see a bigger picture…i did wonder if a thorasic mri may help,do many have this part of their spine scanned.i truly beleive i do have ms,what ever happens at the end of the day,i will always try and help myself and seek the best i can do.thankyou for all your help you have a very big heart (((((((((((hugs )))))))))).

love boz xxxx

hi karen,

this is the newer mri taken in gloucester with dr martin,the pevious mri was 2005,taken in hereford with mr davies.,i eally would be so grateful if you could look at them and let me know what you feel about them,thankyou Karen.

love boz xxx

hi karen,

please could help me with reading both my mris and earlier from 2005,thankyou karen.

love bozxxx

Sorry Boz, but I can’t find them. I’m happy to interpret if you could copy them here?

Kx

boz

09 Jun 2012 at 9:18PM

mri results previous 2005 ,please !!

hello please can you help me ,understand,

mri brain, reads as follows: multiple small lacunes are noted in the frontal and parietal deep white matter.the corpus and callosom is normal.though the appearances are non specific,these lacunar foci are likely to represent iscaemic changes,brain stem and cerebellum are normal.normal basal ganlia.no sellar or paraselllar abnomalaties are seen.normal ventricles and cisterms.small cystic ares are noted in the medial aspect of the right temporal lobe.these are unlikely to be of any significance.

these are a copy of my mri report done back in 2005,what do you think karren,of these and the newer one i had done in 2009,there seems a difference in them ,thankyo so much for your views,i am still collecting copies and letters,i havn’t as yet written back to my neuro,i have just been upping doese of gabapentin to now 3x600mg daily,also another med for angina,

love boz xxx

hi karen,it is comparing this one mri brain 2005,with other mri 2009/10 on the top of this page,thankyou so much,i am very grateful.

love bozxxx

hi karen just checked dates for latest mri brain and spine was the 17/052010 thankyou love bozxxx

Ah! Now I understand - sorry for being dense!

Although the radiologists have used different terms, the findings are basically the same: several small white spots in both hemispheres that they relate to ischemic changes (i.e. to do with blood supply).

It’s a shame that they haven’t said how many and that only one has said where they are (frontal and parietal). This means that it’s impossible to do a direct comparison, but it does sound like things haven’t changed much, if at all.

I’m guessing that will be bad news. Really sorry :frowning:

Karen x

hi karen,i am thankful for help,bad news in a way,and yet not,it isn’t normal,but i don’t what it really relates to for me.i still hope to send my letters and copies to my neuro in the hope he may look again and keep methere with his clinic.thankyou for your help,if he writes back i will let you know.

love bozxxx