I had a MRI scan what does this mean?

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The letter stated I have t2 white matter hyperintensities what does that mean?

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  • Posted

    You need to ask your doctor or whoever sent you for the scan.

    This is just a very general answer to the question of the words you wanted explained and not in any way specific to you.

    Hyperintensity is a term used in MRI reports to describe how part of an image looks on MRI scan. Most MRIs are in black/white with shades of gray. A hyperintensity is an area that appears lighter in color than the surrounding tissues; a hypointensity would be darker in color. . 

     There are a variety of MRI sequences or imaging patterns used (ie. T1, T2 or FLAIR) to highlight or suppress different types of tissue so that abnormalities can be detected. 

    Hyperintensity on a T2 sequence MRI basically means that the brain tissue in that particular spot differs from the rest of the brain. A bright spot, or hyperintensity, on T2 scan is nonspecific by itself and must be interpreted within clinical context (symptoms, why you had the MRI done in the first place, etc). T2 hyperintensities may occur in demyelinating diseases such as multiple sclerosis, vasculitis (inflammation of the arteries in the brain), lyme disease. It's important to note that any tissue with a high water or protein content will tend to appear very bright on the T2 sequence.  

    The FLAIR sequence is used to suppress the hyperintense signal produced by water (or cerebrospinal fluid) in the brain. This is especially helpful when looking for lesions around the brain ventricles (which contain cerebrospinal fluid).

     

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    • Posted

      Hi derek76

      After reading your respont to saraann90 I found that you are more knowledgeable than the two neurologists that I saw.

      At least you explained the meaning of the white matters and why they might be there while none of nerologyistes that I saw bother to explain.

      Two mounths ago I got the open brain MRI result saying that I have several nonspesific punctuate flair within both frontoperital lobs primerly peripheral in distribution.

      My age is 37 and the radiologist stated that in my age this findings are atypical.

      In the impression he added this

      Tiny scattered frontoperital flair hyperintensities are distributed largely peripheral. In this pationet with this age with this MRI it could be due to variety of etiologies. Such as inflammation, vascular, demyelinating and not completely excluding Vasculities.

      My dr. didn't even consider it important. Why beacuse he kept telling me that it says it's nonspesific and you are mostly healthy you do not have high blood pressure, Diabeties and other health issues.

      But I pushed him for inflametory blood works to see if I have inflammation. All came back normal. Thanks god.

      Then I pushed him to refer me to nerologyist. Then I went and I saw the nerologyist which I wish I never should have gone to. Beacuse I didn't get anything from him except I waste my time and my money. He just checked in my nerologycal signs and sat back and told me that he does not see any coloration between symptomps and imeges so he can not diagnose anything. Then I began to ask him my questions that he simply said "i don't know". But people with migraine can have them and with aging these things are omen.

      Then I told him that I do not suffer from migraine and I am 37 years old. He stopped me and told me "I don't know why they are there" 😳😳😳😡 then he left the room.

      Can you belive it I did not get any answers at all.

      Then I made another apointment with the second nerologyist. She was even worse than him. Came in the room gloomy and sat behind her computer asked me few questions and stood up like him checked on my nerologycal signs and sat down without looking at me told me that I don't have MS and she doesn't know what are those things that are there.

      This time I got frustrated and I told her what do you mean by you don't know. You didn't go to school to tell me you don't know at least you can explain the reason that why these things can appear in the brain.

      She simply looked at me and told me they are nonespecifc and I don't know what are they. You can wait and do another MRI in one year to see if they are stable.

      Other than that I don't know. And she left the room. 😳😡

      Here I am still confused not knowing why should I have this result?

      What does it mean to have lessions?

      Is it normal to have them and not having any problem in the future?

      Can they go away or heal?

      Are they MS lessions?

      Should I just forget about them and live my life like they are not there?

      I truly don't know what to do. I got my self crazy of googling my result to see what does my result mean. But my findings are all scary and keep showing up MS and MS.

      I could not get any answers from those doctors at all.

      Can you or anyone here help me to understand my result better.

      Thank you all

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    • Posted

      Many of us are in the same situation as you with reports that concern us but not the experts as they are non specific. I think that we just as you say have to get on with our lives. 
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    • Posted

      No but I have had a CT scan, an MRI scan and have been to an orthopaedic consultant. a neurologist, a neurosurgeon and now about to see a specialised neurologist and do not have anything but a very general  diagnosis.
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    • Posted

      Yes, you seem to have had all the tests without anything being found. You have not said what your symptoms were that took you to see doctors in the first place. 
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    • Posted

      Were you referred for the scan by an ophthalmologist or by someone else? Usually the person referring you see’s you again after the scan with his diagnosis
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    • Posted

      Yeah... See the thing is the hospital that I was in said " your fine just get classes this case is closed" now I'm under a different hospital l got sent that letter.

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    • Posted

      Depending on the cause of the condition sometimes glasses or a solid contact lens can correct it. I have found that everyone I see comes up with a different opinion of my eye problem. 

      An optician could contact the hospital for a copy of your tests. If you have said that you have a regular optician some hospitals send a letter to them as a matter of course. 

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    • Posted

      I get blurry vision in one eye but not double vision. New glasses since the scan? I would go back to the optician for advice or another referral to an eye hospital.
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