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A MyMSTeam Member asked a question 💭
Tallulah, LA

Had a Thoracic spinal MRI 3/6/26 - Radiologist findings: "When compared to the previous exam there has been interval development of
a region of abnormal increased T2 signal at the level of T7-T8 concerning
for a region of demyelination given patient's history of multiple
sclerosis. 1. Findings concerning for interval development of region of abnormal
increased T2 signal within the thoracic spinal cord at the level of T7-T8
concerning for a region of demyelination. 2. No pathologic… read more

March 13
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A MyMSTeam Member

Unfortunately, radiologists make mistakes like everyone else. I have a specific lesion that the radiologist did not mention on the report, but the MS specialist caught it by reviewing the MRI images . It is very important that your doctor reviews everything and not just rely on the Radiologist. I am sorry that happened to you .

March 13
A MyMSTeam Member

The Neurologist believes the radiologist is stating there is a new lesion vs stating the current lesion (which has been present since 2024) has changed. The NP for the neuro through messages on mychart stated existing lesions could not change or progress. I have read on different sites (MS National Society, Cleveland Clinic) that existing lesions can change. The MRI was ordered because I had new areas of numbness and muscles spasms. My original numbness has never stopped progressing at any point either.

March 13
MyMSTeam

Why might your neurologist disagree with the radiologist's findings about new demyelination?

It's not uncommon for neurologists to interpret MRI findings differently than radiologists. Neurologists specialize in MS and may see subtle details that change their interpretation. They consider the complete clinical picture, not Show Full Answer

Why might your neurologist disagree with the radiologist's findings about new demyelination?

It's not uncommon for neurologists to interpret MRI findings differently than radiologists. Neurologists specialize in MS and may see subtle details that change their interpretation. They consider the complete clinical picture, not just the imaging alone.

MRI scans don't show everything happening in your central nervous system, and timing matters. Some abnormalities may be missed or misinterpreted depending on when imaging is performed and which part of the CNS is photographed.

Your neurologist might be considering:
- Whether the signal change truly represents new demyelination or could be artifact
- The lack of enhancement (which suggests no active inflammation)
- Your current symptoms and clinical history
- How this fits with your overall disease pattern

A MyMSTeam member shared a similar experience: "My spinal tap was negative. But the MRI showed way too many lesions." Others have described situations where initial reports showed no lesions, but subsequent scans revealed them.

MS is ultimately a clinical diagnosis, meaning your neurologist weighs MRI results alongside your medical history, neurological exam, and symptoms. If you're concerned about the discrepancy, it's reasonable to ask your neurologist to explain their reasoning or consider a second opinion.

March 13

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A MyMSTeam Member asked a question 💭
Preston, UK