My radiology Report lacks info of looking for small lesions!!
I'd like you to please look at my MRI report. My MRI was done with no contrast. My Chat GPT has found some small lesions, but my report came back as normal. The person that interpreted my MRI was not a neurologist. I'm going to a neurologist for a second opinion and to see what I'm having MS symptoms. Please look at my first post for symptoms :) here's my report;
The radiology report includes two main parts: an MRI of the brain and an MRI of the cervical (neck) and thoracic (upper back) spine.
Starting with the MRI of the brain, the report indicates that there are no signs of acute infarcts, which means there are no recent strokes, and no hemorrhage, meaning there is no bleeding in the brain. The brain's structure appears normal, with no unusual signals detected in the brain tissue. The report also notes that the volume of the brain tissue is normal, and there is a clear distinction between the gray matter (the outer layer of the brain) and white matter (the inner layer). Additionally, the midline structures of the brain and the area where the brain meets the spine (the craniocervical junction) show no abnormalities. The report concludes that the MRI of the brain is normal.
Next, the MRI of the cervical and thoracic spine shows that the alignment of the cervical spine is normal, and the heights of the vertebral bodies (the bones in the spine) are maintained, meaning they are not compressed or damaged. There are no signal abnormalities in the cervical spinal cord, which suggests that the spinal cord is healthy. The report mentions that there are no issues at specific vertebrae levels (C1 to C6), but at the C6-C7 level, there is a small bony growth (called a posterior osteochondral bar) on the right side. However, this does not cause any narrowing of the spinal canal or the openings where nerves exit the spine (neural foramina). At the C7-T1 level, there are also no signs of narrowing.
For the thoracic spine, the report again notes normal alignment and maintained vertebral body heights. The spinal cord ends normally at the L1 level, and there are no signal abnormalities in the visible part of the spinal cord. There is no spinal canal stenosis (narrowing of the spinal canal) or neural foraminal narrowing in the thoracic spine, and the surrounding soft tissues appear normal.
In summary, the report indicates that both the brain and the cervical and thoracic spine appear normal, with no signs of serious issues such as strokes, bleeding, or significant structural problems
I believe your MRI report would have been compiled by a Consultant Radiologist. Your neurologist would then take it into consideration along with the McDonald criteria before a diagnosis of multiple sclerosis.