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Medical Forum / Diseases and Disorders / Tinnitus / March 2007

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Please help to decipher MRI

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dj_tsar@yahoo.com - 20 Mar 2007 07:16 GMT
Hello,
I've been battling a crapload of doctors, all of whom seem to be all
too willing to write me off as a hypochondriac with anxiety problems.
To make the long story short, I started getting red and watery left
eye in October. In November, the area around my eye started to hurt a
bit. My PCP thought I had sinusitis and put me on some antibiotics. No
luck. He then put me on another antibiotic and Prednisone. I felt a
bit better due to Prednisone, but then it was over, and my symptoms
came back including tingling in my left arm and leg and brain fog. I
went to the ENT who suggested I have a TMJ problem. Again no dice. I
had a CT of the brain w/out that showed nothing in December. At the
end of December I had a brain MRI without contrast which showed
nothing as well. I persisted and my neurologist thought I have an
abnormal migraine. I started taking beta-blockers, which seem to be
doing a little bit of something, but not enough to write home about
it. Finally, I went to another neurologist to get a second opinion and
got another brain MRI with AND without contrast. I know you guys are
not medical professionals, but I trust many of you have seen enough of
these to know how to read them. I am quite lost, and a bit scared. I
know I may have MS or something else, and I'd rather find out and deal
with the consequences. I am currently waiting to visit a MS specialist
at UCSF. Here is the MRI report:

Findings:
The ventricals are normal in size and symmetric in the midline without
evidence of mass effect or shift. Cortical sulci and subarachanoid
spaces are symmtric and normal. There are two tiny white matter
lesions adjacent to the trigone of the right lateral ventricle, seen
only on the coronal FLAIR sequence. There is no contrast enhancement
of these small lesions and no other contrast enhancing lesions are
identified. No other abnormal foci of increased or decreased signal
intensity are seen anywhere intracranially. Normal gray/white matter
differentiation.

Impression:
1. Two tiny white matter lesions adjacent to the trigone of the right
lateral ventricle without evidence of surrounding edema or mass effect
and not demonstrating contrast enhancement. The largest of these
measures about 4 mm in size and the second measures 2 mm. These
lesions are nonspecific and could represent some chronis gliosis or
scarring. Early demyelinating disease cannot be entirely excluded.
2. Otherwise normal appearing magnetic resonance imaging study of the
brain.

Any help is greatly appreciated.
Thank you!
Jim Chinnis - 20 Mar 2007 16:41 GMT
dj_tsar@yahoo.com wrote in part:

>Findings:
>The ventricals are normal in size and symmetric in the midline without
[quoted text clipped - 16 lines]
>2. Otherwise normal appearing magnetic resonance imaging study of the
>brain.

I don't think many people here (not more than 2, anyway) could begin to read
an MRI. And you don't provide a link to the MRI itself, but instead to a
professional reading!

To read an MRI, one also needs to know the status of the patient, things
like age, health history, etc.

The fact that contrast did not enhance the two lesions is good and pretty
much rules out tumors. Some small white matter lesions are normal, depending
on the age and health status of the patient.

MS is a real stretch, but it is one of those things that can be slow to
diagnose and is often suspected (mostly by the patient) on the basis of
normal or non-significant aches, pains, tingles, etc.

Your problems could be anxiety-based. Keep that in mind as you pursue a
diagnosis.

I am not a physician.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

fyfpoon@gmail.com - 21 Mar 2007 15:35 GMT
On 3月20日, 下午2时16分, dj_t...@yahoo.com wrote:
> Hello,
> I've been battling a crapload of doctors, all of whom seem to be all
[quoted text clipped - 11 lines]
> abnormal migraine. I started taking beta-blockers, which seem to be
> doing a little bit of something,

I recall when I was suffering from some nerve discomfort in my head,
the use of beta-blocker seemed to have 'touched' the discomfort and
moved it from side to side.  At that time, someone suggested I had
seizure in my brain.  I actually at this moment don't know what it
was.  My discomfort was finally released by a couple of acupuncture
treatments.  The acupuncturist said it was a pitched nerve.  Well, I
am glad it is all over.  But during the onset of my t i went to visit
about 15 Western doctors or doctors practising western medicine.
Their answers were either 'i don't know' or 'you are too nervous'...or
'it is psychological...'...'there is no cure because your long term
high blood pressure has destroyed the hair inside your inner ear'....
As far as I am concerned, none of them had a clue of what it was going
on but they fought ferociously to protect their professional castle.

Check around for a good acupuncturist and request if you can get some
testimony from at least one of his patients.  When the so-called
conventional method does not work, try the alternative.
==========================

but not enough to write home about
> it. Finally, I went to another neurologist to get a second opinion and
> got another brain MRI with AND without contrast. I know you guys are
[quoted text clipped - 27 lines]
> Any help is greatly appreciated.
> Thank you!
Janice - 22 Mar 2007 01:17 GMT
Definitely second that one. Even if it is all in your head, they may
help. Who cares what it is if it goes away?

On 3ÔÂ20ÈÕ, ÏÂÎç2ʱ16·Ö, dj_t...@yahoo.com wrote:

 When the so-called
conventional method does not work, try the alternative.
==========================

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