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Got my follow-up MRI results-Doubting my diagnosis, what do you think??

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Multiple Sclerosis
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Posted 10/26/2007 3:07 PM (GMT 0)
 

<!-- / icon and title --><!-- message --> I picked up my radiologist report form my MRI yesterday. It was compared to early March. Good news is the report says "no interval" change. Additionally, the one cervical lesion I had is apparaently gone or "may have been artifact."

I am suspecting my diagnosis. I looked at my MRI's. There is literally NO CHANGE. I mean, the lesions that were there before are there now in the same place and are the SAME size. From the report, it seems like even the radiologist is "suspecting" the diagnosis. This is what is says:

"The ventricals are normal in size and contour and the cortical sulcal pattern is normal. THere are numerous areas of abnormal T2 signal in the cerebral hemispheric white matter bilaterally which when compared to the previous study of 3/19/07 there does not appear to be any appreciable change in the overall appearance of abnormal signal foci which have been previously thought to represent demylenating disease. There was no enhancement seen.

COnclusion: No interval change in the suspected demylenating disease. No breakdown of the blood-brain barrier."

Does it sound like the radiologist is doubting? Also, shouldnt some lesions have gone away or at least changed?? Is it possible that these have just been there forever??

I am 28...I was diagnosed based on my right hand going numb and weakness in both hands, a positive spine tap and apparent change in MRI...This is the thing though. My first MRI was from a different facility and the images were not very clear. Which makes me think, maybe it never really changed!!! Especially since they are saying the cervical lesion may have never even been there!!!

I know I should be glad but part of me is thinking that maybe I dont have MS...Maybe I have CIS or something....My doc appt is in 2 weeks...

What is your opinion???

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Diagnosed Dec. 21, 2006 with RRMS
Starting Copaxone 01/04/07

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Posted 10/27/2007 12:27 AM (GMT 0)

Radiologists don't diagnose..they just report what they see in the MRI, and it's up to the doctor to diagnose, or determine whether there is change or not, or whether there is something different to diagnose with you.

Lesions can seem to disappear. Lesions can ALSO remain the same -- a GOOD thing, because it means your MS is stable for now. And different MRI's can show up different lesions, or lesions that appear on one may not be on another.

Presumably you still have some symptoms? The abnormal T2 signal indicates there is some damage somewhere...so it's still likely that your MS diagnosis will stand.  But you will need to discuss all of this with your doctor.

Posted 10/30/2007 4:27 PM (GMT 0)
Thank you uppity. anyone else have any feedback on this?
Posted 10/31/2007 1:20 AM (GMT 0)

Hey ConfusedGal,

I am thinking that you still have MS.  I don't see any reason to suspect that your dx is wrong.  If you suspect your dx, you should definitely bring this up to your doctor.  Ask him or her to tell you what they make of the radiology report.  It seems to me if you still have lesions and you had a positive lumbar puncture, that you still have MS.  It would be different if perhaps you had lesions dispappear.  My biggest lesion was smaller after a year.  According to my doctor, that was a good thing in that it indicated some remyelination.  I think you are doing really well.  You are maintaining your level of functioning.  It seems that the copoaxone is working for  you.  Hopefully you will stay this healthy.  Good luck.

Love and prayers,


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