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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Report Indicate?

I recently had a brain MRI due to symptoms that feel a lot like MS. I was told the results were not indicative of MS, but age-related changes. I m a 55 yr old female. There were 10 (contrast) to 30 (no contrast) tiny T2 hyperintensities which I was told were due to migraine or a few chronic microvascular ischemic changes. Under Findings the report says abnormal enhancement within or around the brain. Under Impression the report says No acute intracranial abnormality or pathologic enhancement. Would you please explain the difference between abnormal enhancement and no pathologic enhancement ?
posted on Tue, 13 Mar 2018
Twitter Mon, 16 Jul 2018 Answered on
Twitter Fri, 20 Jul 2018 Last reviewed on
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I passed carefully through your question and would explain that abnormal enhancement could be related to diffusion images, which are related to inflammation. While the contrast enhancement are usually caused by tumor or active MS lesions. Anyway, tiny T2 hyperintensities are not typical of MS. They are typical of small vessel disease, which could be related to arterial hypertension or migraine.

Hope I have answered your query. Let me know if I can assist you further.
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What Does This MRI Report Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that abnormal enhancement could be related to diffusion images, which are related to inflammation. While the contrast enhancement are usually caused by tumor or active MS lesions. Anyway, tiny T2 hyperintensities are not typical of MS. They are typical of small vessel disease, which could be related to arterial hypertension or migraine. Hope I have answered your query. Let me know if I can assist you further.