Reading the MRI

Hello, I just joined tonight. I am in the process of testing for MS. Has been coming for quite awhile. I am going for a second MRI in a week and my first one was paid for by MSAA in 2011 because I did not have insurance yet. I have yet to ask my new neurologist what the notes mean on my first MRI report. I will meet again with him after my next MRI.

My report states:

“The ventricular spaces, cerebral cisterns are within the limits of normal for size and symmetry. There is no mass effect or displacement of the midline structures. There are a few scattered small foci of increased FLAIR and T2 signal intensity in the central white matter of the left cerebral hemisphere, with the largest measuring up to 4mm. There are at least four on the left. These have no significant T1 signal intensity abnormally or any significant enhancement. The internal auditory canals and acoustic nerves show no evidenc of asymmetry or mass. The pituitary gland and sella appear inremarkable. The paranasal sinuses and mastoid air cells are normally developed and normally aerated.”


1. Small nonspecific foci of increased FLAIR and T2 signal intensity left cerebral hemisphere.

  1. Otherwise unremarkable MRI of the head.

*Can anyone shed some light on the information I posted in BOLD print?

Thank you so much for your time. I just want to understand what it could be from? Migraines maybe?

Hi Misty, not sure what it all means… but take a look at the sticky post (top of New dx page) by Rizzo called ‘Beginner’s guide to brain and MRI’.

Lots of info on that,

Pat x

Hello and welcome :slight_smile: It basically means that you have some small round white spots towards the middle of the left half of your brain, but that their size, shape, location and distribution doesn’t point towards any particular condition. For example, although their shape is consistent with MS, at a maximum of 4mm, they are considerably smaller than an average-sized MS lesion (7mm). I think that the fact they didn’t look abnormal on T1 images makes vascular causes less likely. I’m not a neuro or radiologist, but I think that they would be unsurprising in a patient with migraine. Hth. Karen x

Thank you very much…to both of you :slight_smile: