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Medical Forum / Diseases and Disorders / Arthritis / August 2007

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MRI results help (chances for this not being MS???)

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maflatoun@gmail.com - 06 Aug 2007 23:01 GMT
Hi,

I'm currently going crazy trying to understand my wife's MRI results.
She has do another MRI in a month and then we will get a more certain
result. My wife's left arm has been numb for a year now. She recently
did an MRI and this what we got back

MRI CERVICAL SPINE

TECHNIQUE:
Sagittal T1W and T2W images have been obtained as well as axial GRE
images

Report:
Straightening of the cervical alignment is noted, consistent with
muscle spasm. The vertebral body heights and intervertebral disc
spaces are well preserved. No vervical disc herniation or foraminal
stenosis can be seen.

However, at the leve of C4 and C4-5 intervertebral disc space, a
moderate-sized area of increased T2W signal intensity is seen on the
right side of the cervical cord. It measures about 0.4 X 0.4 cm in
it's maximal cross-section dimensions and involves a length of about
0.7 cm. The reaminer of the cervical cord appears unremarkable. No
cord enlargement is seen.

IMPRESSION:
A small to moderate focus of abnormal increased T2W signal intensity
is seen on the right side of the cervical cord, at about the level of
C4. The differential diagnosis would include multiple sclerosis and
transverse myelitis in this young age group. A tumor is also not
entirely excluded.  A follow-up MR scan of cervical spine, with the
use of IV Gadolinium enhancement would be usuful in furthur assessment
of MR of the thoracic spine should also be obtained at that time to
assess the remainer of the spinal cord. MR of the head is also
recommended to assess for the possibility of multitple sclerosis.

Based on this what are the chances that this is actually MS? If not
what else could it be? Could it be something simple? Could be a
another disease or maybe she had it her entire life? Any other disease
that is more curable than MS?

We just got this 3 days ago and I guessing in my head for another
month is really painful.

Your feedback is greatly appreciated :(.

Thank you
M.
california_chief - 07 Aug 2007 03:00 GMT
> Based on this what are the chances that this is actually MS?

It really requires a radiologist to read the results of those tests, and
none of us are qualified to do that.

> If not what else could it be? Could it be something simple? Could be a
> another disease or maybe she had it her entire life? Any other disease
> that is more curable than MS?

None of us are doctors and we are not qualified to offer a diagnosis.

This is a support group, not a medical group.  We'll give all the support we
possibly can to anyone who has a diagnosis of one of the more than 100 types
of arthritis, but we will not make wild medical guesses/stabs at trying to
say "yes" or "no" to a dianosis question.
Diane - 07 Aug 2007 04:22 GMT
M, I would contact her doctor to say exactly that--that waiting a
month with this sort of diagnosis hanging over your heads is too
difficult and see if you can get further interpretation of the results
and/or a speeding up of the diagnostic process.  i hope for the best
for you and your wife.

diane
 
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