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Hello all -

I had an MRI of my brain done without contrast (due to allergic reaction previously) on 3-23-2009. The first round they never compared my previous brain MRI scans which had been done on 1-23-2007. But I finally requested that a direct comparison be made as when I examined my 2 copies of MRI scans I could most distinctly see more lesions on the left side of my brain than were there in 2007. I am a 59 year old female.

I will write the exact 1st impression radiologist gave without seeing the MRI from 2007 and then the revised one I just got a couple days ago. The scan in 2007 was due to numbness and tingling on the right side of my face and the most recent was because of vertigo (I do have pretty severe tinnitus in left ear). I also have high blood pressure that has not been treated for some time. It went up and down and the meds always made me ill. My regular doctor did start me on a water pill 25mg and potassium 1x a day but my feet and legs started prickling and I started having raised up rash welts on my arms so he told me to stop taking it. This was right before all this happened as well. Right now I am not taking anything for high blood pressure but it keeps holding pretty steady at around 129/81 give or take abit.

I have been having random pins, needles (feel like a bloody pin cushion I swear!) and numbness here and there on my body now. Sometimes arms and legs feel on fire. Like blood boiling inside. Intense chills for last 3 days but not today. No fever. Everything tends to move around my body. Headaches and some aching joints, especially hips and lower back. I also want to note that on 10-3-2006 I had another brain MRI with contrast and it was unchanged in 2007 as noted in the comparison study. That made me happy at the time.

IMPRESSION from 2007 MRI (with contrast): Stable MRI of the brain. There are several small foci of abnormal signal intensity in the deep white matter of the frontal lobes felt to represent chronic microvascular changes. The remainder of the brain is normal.
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There will be 2 impressions given below. The first is without the direct comparison to the 2007 MRI and the second is after the radiologist did a direct comparion:

IMPRESSION from 2009 MRI (no contrast) without direct comparison: There are several foci of abnormal signal intensity within the white matter of both cerebral hemishpheres, predominately in the frontal lobes, likely representing chronic microvascular changes. The remainder of the study is normal.

ADDED IMPRESSION from 2009 WITH direct comparison to the 2007 MRI: Slight progression with new foci of nonspecific white matter gliosis are identified in the brain compared to 1-23-07.

My question is this (and I do go to an MS Neurologist at St. Lukes in Milwaukee, Wi. this coming Friday May 1st for my first visit) - Do lesions on your MRI brain scans always end up being MS? I am scared and very nervous. Today it seems my symptoms are pretty much gone except for an occasional twitching right eyelid, slight burning still in lower legs and feet and slight headache. Tonight I notice my right calf is starting to ache somewhat. Yesterday my right arm and hand was pretty numb though - gone today. How can some days be so good and then others horrible?

I also want to mention that I had gone to my chiropractor and he did 2 sessions on me on 2 different days in one week and this all flared up AFTER he did that. I was almost screaming in pain in there. Went in for low back pain and headaches. He worked me over like he never had before...my neck, upper and lower spine and back, even my wrists. Ouch. So 2 days later....yikes! I felt like I was hit by a truck and all this tingling, numbness, etc. started. My regular doctor was not too concerned about the findings on my latest MRI and dismissed them. Just gave me the high blood medications to start on.

Sorry to be so long winded about this but just trying to be as specific as I can. And I do know that there are many of you here on this board that are MS experts and I have been reading and reading and reading many of these posts. I do get pretty scared reading and so really had decided to stop. BUT....lol....I couldn't resist writing this letter before I go in to see the neuro Friday. By the way I had a normal MRI of my spine in late 2006 but none since. I do have some disgeneration damage to my C-4 on spine due to a 15 ft. fall through the ceiling of my ex husband's garage, bounced off my mom's car and cut my back open. This was in 1992 though.

So to make a long story story short once more - Do small foci (slighty progessing) on the brain usually diagnose as MS?? What other things MIGHT this be, especially if my spine MRI turns out negative? I am hoping the Dr. will request this - am sure he will. Not being able to have the contrast may be an issue however, although it worked fine I guess for the brain without. I do the open MRI's. Not closed. Cannot stand those.

Okay I am hoping that I'll hear back from someone as, like I said, I am very worried and stressed. Which of course, doesn't help the issue.

Thanks for reading!

Linda





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