Hi Everyone,

I just received my newest brain and spine MRI report today. It has me rather confused and I thought maybe someone here can add some clarity. I do have a message in to my neuro but haven't heard back from him yet.

The issue is with the section about the spinal cord lesions. I was found to have the lesion at T3-T4 last June. In the report, it states that there are additional lesions in the spinal cord but then indicates that they are not new. If they weren't there is June or on the two MRI's in September, aren't they then "new". I understand that they are not enhancing but they must have come from somewhere. Am misinterpreting the report somehow? I have attached the report below.

Thanks!

MR brain and total spine with and without contrast 2/1/2019

HISTORY: History of atypical inflammatory CNS syndrome that presented in 2004 and with evolving possibly brainstem symptoms, immunosuppressed for Behcet's disease.

COMPARISON: MR brain and total spine 9/29/2018, 9/19/2018, and 6/26/2018

TECHNIQUE: Multiple sequences of the brain and total spine on 3 Tesla scanner

Contrast: Intravenous gadolinium was administered

FINDINGS:

BRAIN:

Since 9/19/2018, complete resolution of abnormal enhancement, rim of reduced diffusion, and surrounding vasogenic edema associated with the left superior parietal lobule white matter lesion (11 mm).

No interval change in numerous additional periventricular and subcortical white matter lesions within the supratentorial brain. The 2 largest of these are once again seen within the right periatrial white matter and right superior frontal centrum semiovale ovale each measuring 8 to 10 mm. No new lesion is identified. No definite posterior fossa lesion is noted.

Normal brain volume. No hydrocephalus.

SPINE:
Again seen is a left lateral cord lesion (best seen on axial T2 series 13 image 16) at T3-4 level without change. Additional lesions within the spinal cord at T10 and T11 levels are also unchanged. No new cord lesions. Mild degenerative changes of the spine without evidence of remarkable spinal canal stenosis or neural foraminal compression.

IMPRESSION:

Since 9/19/2018, complete resolution of abnormal enhancement, rim of reduced diffusion, and surrounding vasogenic edema associated with the left superior parietal lobule white matter lesion.

No interval change in numerous additional periventricular and subcortical white matter lesions within the supratentorial brain.

Chronic spinal cord lesions at T3-T4, T10, and T11 levels without change. No new cord lesions.