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A MyMSTeam Member asked a question 💭
Adelaide, AU

Hi all had brain MRI 4 months ago 6-7 lesions deep white matter perpendicular lateral ventricles suggestive of MS

Had MRI two days ago
Findings lesions predominantly frontal sub cortical white matter T2 hyper intensity , not overly suggestive of MS

How can two MRIS be so different both done through same radiology ??
So now I don't have MS

I'm so confused
Spinal MRI no lesions detected
Any advice to understand appreciated

February 23, 2017
 · 
Be the first to react
A MyMSTeam Member

Do you have the sagittal images ie. The cuts from right to left? Remember these things are three dimensional.

But yes as others have said lesions alone do not determine MS diagnosis. Even spinal taps arent perfect, up to 20% of people with MS have normal LP results. Most brain lesions themselves are silent, in so called "non-eloquent" areas and dont produce specifc symptoms. The lesions that cause the most symptoms are spinal cord and brainstem. That leaves lots of quesitons: do these lesions mean MS and if so are they responsible for all the symptoms you are experiencing? MRI alone may not be able to answer that. Add to that the fact that while lesions c/w dawson's fingers ie perpendicular periventricular lesions are the "classic" MS lesions doesnt mean that without those its not MS nor does that alone mean MS. So in fact whether these are subcortical or periventricular itself wont determine if it is or isnt MS. It's rediculously complex.

Hence the reason why people really need an MS specialist along with often multiple tests to make the diagnosis. Ugh!

February 24, 2017
A MyMSTeam Member

Two different radiologists may describe the same lesions using different language. The key is for your neurologist putting them side by side for direct comparison, not just reading the reports.

Remember there are a lot reasons besides MS for white matter lesions, many of which are completely benign. Ask your neurologist for that interpretation they will be better equipped to say if it is or isnt consistent with MS.

This is the reason why MRI alone doesn't tell the whole story. It has to be interpreted in context. Good luck!

February 23, 2017
A MyMSTeam Member

I will add picture to my page
Funny how one report states peri ventricular perpendicular to lateral ventricles other states frontal subcritical

February 23, 2017
A MyMSTeam Member

Bilateral leg weakness with tingling hot feelings , fatigue , miss judging door frames furniture , episodes of dizziness

February 23, 2017
A MyMSTeam Member

No history of hypertension
No history of migraines

February 23, 2017

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