What Does My MRI Scan Report Indicate?

Posted on Tue, 8 Dec 2015

Question: Hello Sir, I am wondering about two Pictures on my mri. i have movment disorder, spasticety and wondering if the Pictures is the problem. Alsow wondering i f this can be operated. I will downlowd two Pictures first that i took on scrennshoot, so you now what i am wondering about. I dont now how to downlowd seperete picturse from my dicom, but i will downlown them after for you.

Answered by Dr. Neeraj Kumar (22 minutes later)

Brief Answer:
Provide more details

Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
You need to provide more details regarding symptoms and diagnosis or prescription of treating doctor.
From drugs it seems you are suffering from parkinsonism.
There are many types of parkinsonism and require detailed history for diagnosis.
The MRI pictures are not sufficient to interpret .
You can upload pdf of images.
Provide details regarding symptoms, like tremors, slowness, gait difficulty, fall, syncopal attacks, urinary complains, sleep disorder, memory , behavioural problems.
Duration of symptoms.
Do get back with these details.
regards
Dr Neeraj Kumar
neurologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Neeraj Kumar (16 hours later)

It started whith restless legs 7 years ago so the doctor gave me Madopark., then it Went over to painful cramps. 2013-11 i woke up and could not walk on right leg, week right side body. Madopark did not work anymore, after a year the doctor gave me baklofen. In combination i can walk again. It is going in strairs, sometimes whith improvment, then down again. It seams to be contected to heart, beacose i get arrytmy. I have sensor problem, more sensitive on my right leg and my left side face. I have to adjust medication very fast up.

A had blumark on right neck back at the time, and bluemark on one vertebra/thorax at the time.

The progrese is Quick, not like Parkinson, in duration of Three mounth my hole body strat to vibrate, but is going around in diffrent muscles, ex first lower leg for sime time, then moving to other area.My nerves are "Hammering" I feel as if my hand is starting to be clumpsy. Having a lot of pain left face and rihgt leg.

The radiologist in sweden did not repport the bleeding, so my doctor Think i dont have a problem. But i now, so i dont now wat to do.It seams to be a problem uplowd Pictures on page, can i mail them?I have mri thorax and cervicel spine as well. Ofcorse i would pay extra to get repport and more answers.

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
Require detailed evaluation by a neurologist or movement disorder expert

Detailed Answer:
Hello XXXXXXX
Your description seems to be related to extrapyramidal movement disorder with rigidity, tremors and some other abnormal movement.
Parkinsons and other parkinsons like illness may present in similar way.
The diagnosis require detailed examination by neurologist or movement disorder expert, investigation,, video may be helpful to interpret diagnosis.
If possible upload previous doctors prescription to get some examination findings.
Treatment comprises physiotherapy, anti rigidity drugs and other medications as required.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (3 hours later)

My grandmother had vascular Parkinson, she dead from stroke. My vibrations start when i lay down. I am wondering aboute the picturs, is it hemmorage?
I have trombosis in my chest and carotids, i consolted onother radiologist online, he sent me repport cardiac emboli stroke. Can i consolt a radiologist on this page?
I see several punctate non specific white matter lesions in frontal lobes
Two small gliotic foci in the right cerebellar hemisphere:
Gliotic small foci in the right cerebellar hemisphere may represent old lacunar strokes, clinical correlation is needed. They may be explained by both microangiopathy and hemocoagulation disorder (for example antiphospholipid syndrome). Also by cardiac problems (cardiogenic emboli?), increased arterial pressure.
Small non specific frontal white matter lesions, presumably of vascular origin
Kinking of the extracranial carotid arteries of unknown clinical significant
Old small cerebellar strokes of unknown origin may need vascular imaging (neck Doppler US or contrast enhanced MR angiography, CT angiography also works well but delivers a radiation dose).
To exclude clinical significance of the carotid kinking it is useful to correlate possible symptoms with the position of the head and keeping in mind that sometimes kinking provokes transitory cerebrovascular insufficiency. The Doppler US of the neck arteries may exclude significant narrowing while neck moving.
This is the repport from radiologist online, in sweden i dont get help,the radiologist did not repport this on my mri. I need to go and do angiografi in other conutry, is is getting worse every mouth. Do you have Contact ore can help me whith angiogrofi?No i belive i have vaskular parkinssonism, beacouse neupro does not help me walk, baklofen is helping better. But i belive i need medication for the tromosis/emboli.

Answered by Dr. Neeraj Kumar (18 hours later)

Brief Answer:
Requires extensive evaluation and investigation for diagnosis

Detailed Answer:
Hello XXXXXXX
With all your clinical details and MRI report I think you may be having some vascular aetiology leading to brain involvement.
There can be many causes of vascular involvement like atherosclerosis, vasculitis, coagulation disorder, immune mediated disorders.
The lesions in brain may be affecting both pyramidal and extrapyramidal fibres leading to movement disorder and weakness.
You need to be evaluated in detail by a neurologist(movement disorder expert) and a immunologist.
You may need MR angiography, blood investigations like lipid profile, ANA, ENA, complement levels, ESR , coagulation profile, ECG,2D ECHO.
Your treatment needs to be modified in light of examination findings and investigational reports.
Hope you found the answer helpful.
Do get back with further details.
The MRI report and its finding have been evaluated by me.
You can additionally put another question specially for radiologist if you feel so but in my view with my experiences nothing more will be gained by radiologist opinion.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (1 hour later)

Is the assymetrucal dark ring in the picture i send you furst included in mri report? What is it?

Answered by Dr. Neeraj Kumar (7 minutes later)

Brief Answer:
Seems to be sinus or soft tissue

Detailed Answer:
Hello,
Mri is showing nasal septum midline anterior, then nasal and maxillary sinus region and then infratemporal soft tissue region.
You do not worry about different images in a sequence as all structures are different.
Mri report is important for you with described findings.
You can upload images of whole Mri film taken by a good camera for evaluation.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (19 hours later)

I see, thankyou. The problem is that i have pain in that area.

Answered by Dr. Neeraj Kumar (3 hours later)

Brief Answer:
May be maxillary sinusitis over face

Detailed Answer:
Hello XXXXXXX
Pain over facial area around nose on bony prominence may be a sign of sinusitis.
You can try steam inhalation along with antibiotics and see if it helps. Else consult an ENT specialist.

Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (27 hours later)

To complete your good adwise about blodtest, more blodtest i could try. I have lack of tyrosine kinase 2, Piladelfiacromosomen, and had moderete increased leukucite last 1.5 years

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Hematologist consultation is required

Detailed Answer:
Hello,
Are you having CML.?
Is there any treatment being taken.
You need to visit a immunologist and hematologist for detailed examination and treatment.
Do reply with more details.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (3 hours later)

I dont have lukemia yet, but I am the first and my twin sister to have a holgenomsekvense. The want to develop teiler made medicin. In my case i am the first person in Sweden for now that they did a specific test just to see how my cells react. We have the piladelfiacromosomen. But for the genetics in nervsystem problem we have we just got answer lack of tyrosine kinase 2. The tyk 2 gene is probobly the problem with my and my twinsisters problem whith nerves. She just have problem whith one leg like i had before. I dont have lukemia yet but professor is making blodtest every 3 mounth.

Answered by Dr. Neeraj Kumar (13 hours later)

Brief Answer:
Require expert opinion of a movement disorder specialist

Detailed Answer:
Hello XXXXXXX XXXXXXX chromosome and abnormal tyrosine kinase activity is not directly related to your neurological deficit.
My suggestion will be to visit a neurologist or movement disorder expert with all records for evaluation in details.
Clinical examination, imaging and may be electrophysiological study needs evaluation in detail.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Neeraj Kumar (11 hours later)

I see. So can this fast hamnering in nerves in rest/sittning down and vibration be movment disorder?

Answered by Dr. Neeraj Kumar (6 hours later)

Brief Answer:
Movement of limbs, stiffness, slowness all are part of movement disorder

Detailed Answer:
Hello XXXXXXX
Movement disorder comprises most commonly, tremors, rigidity or stiffness, slowness with involvement of other parameters too.
What are you enrolled for regarding tyrosine kinase abnormalities.
Have your doctor diagnosed or communicated some diagnosis to you.
Are you under a trial of some medication?
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Sonia Raina