| howdeedoodee25 2005-01-15, 7:18 am |
| First i wouldlike tothank anyone who replies and i do make spelling
errors so if i do sorry.
MS . Hard to Diagnose huh ?
Been on interferon 1-a for 7 years now. Never had an mri of the neck or
spine but just did. Thanks to all of you whom replies to me thinking i
was being rushed due to the contrast part being much faster.
I wil go to me neuro tomm. but here is the Mri report. Idont have a
scanner so ill type it out to the best i can.
Should i bother fighting this and getting more 2nd opinions ? Or should
ilet this go for i am sure i will get another lumbar puncture after
this maybe and more then likely i am guessing it willshow nothing.
For the record ive had 4-5 mri's of the brain w/wout contrast , and
this is my first last week of the neck and spine . heres the report.
I dont know if google lets one respond directly to email but if it does
pls dont and respon here because i dont check that email, and i am sure
this might be hard to evaluate so if i get no replies no worries.
First symptom i had was 6th nerve palsy(double vision 8 years ago which
led me to all this)
Radiologist report from last week.
MRI BRAIN WITOUT AND WITH CONTRAST
HISTORY: Follow-up multiple sclerosis
Technique:Axial FLAIR and T2 sequences with Axial T1-weighted images
pre and post-contrast.Post-contrast coronal T1 obtaINED.Pre-contrast
T1-weighted sequence and sagittal FLAIR obtained with coronal GE.
Correlation made prior examination October 2002.
FINDINGS: Small deep white matter and perventricular lesions are noted
consistent with history of multiple sclerosis. I see no new lesions in
comparison with the prior examination. At this time, no enhancing
lesions are detected. Ventricular size appearsnormal. There is no intra
or external-axial mass. No midline shift. No findings to indicate
intracerebral hematoma. Cervicomedullary junction normal-appearing.
Normal flow-voids basilar artery and both internal carotids.
IMPRESSION: STABLE MR APPEARANCE BRAIN DEMONSTRATING SMALL
PERIVENTRICULAR AND DEEP WHITE MATTER LESIONS CONSISTENT WITH MULTIPLE
SCLEROSIS BUT WITHOUT EVIDENCE OF ACTIVE DISEASE CURRENTLY.
NEXT IS MRI C-T SPINE WITH AND WITHOUT CONTRAST.
MRI CERVICAL SPINE
HISTORY:EXACERBATION multiple sclerosis
TECHNIQUE: Sagittal T1, T2 and a gradient echo sequence obtained along
with an axial gradient echo sequence and a T1W image prior to contrast.
T1 sequences axial and asgiattal post contrast.
Best seen on the gradient echo sequences is some increased signal in
the ventral aspect of the cord at the C4 to C5 level. There i no cord
expansion. I see no evidence of syringohydromyelia. The
cercicomedullary junction is normal. Column alignment is normal. There
is minimul spondylosis deformans C4-C5,C5-C6 disc with mild annular
bulge. Foramina unremarkable appearing. No abnormal enhancement
detected following contrast admistristration.
IMPRESSION: VENTRAL SPINAL CORD SIGNAL ABNORMALITY C4 TO C5 LEVEL
WITHOUT ABNORMAL ENHANCEMENT. THIS COULD REFLECT REDIDUA OF A PRECEDING
DEMYELINATING PROCESS. ABSENCE OF ENHANCEMENT OR CORD EXPANSION MAKES
ACTIVE DISEASE SOMEWHAT LESS LIKELY IN MY OPINION.
NEXT..
MRI THORACIC SPINE
HISTORY: Multiple sclerosis
FINDINGS: Sagittal T2,T1 and STIR sequence obtained with axial T2 and
T1 sequence priot tocontrast.Post contrast sagittal and axial T1
obtained.
The thoracic spine cord apperas of normal size. I see no definate foci
of abnormal enhancement within the cord. Co cord compression evident.
No abnormal enhancement demonstrated within the cord, subarachnoid
space, or epidural space. There are narrowed discs with reduced T2
signal at T6-T7, T7-T8, T8-T9,T9-T10, and T11-T12 levels. Small disc
protruions are present centrally T6-T7, slightly left T8-T9, somewhat
diffusely at T9-T10, and diffusely at T11-T12. No paraspinal
destructive lesion evident.
IMPRESSION:
1. UNREMARKABLE APPEARANCE OF THE THORACIC SPINAL CORD WITHOUT FINDINGS
TO INDICATE ACTIVE DEMYELINATING DISEASE CURRENTLY.
2. DEGENERATIVE CHANGES WITH SMALL DISC PROTRUSIONS SEVERAL LEVELS
THORACIC SPINE AS ABOVE. NO CORD COMPRESSION OR SIGNIFFICANT CENTRAL
CANAL STENOSIS.
Thats it , its kind of alien talk to me, like i said i dont expect a
response but thisis the radiologists report. thanks to all who read
this and even tried to make some sense out of this.
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