McCarthy
01-11-2007, 06:36 AM
Hi everyone,
Had an appointment with my neurologist today and had a look at the MRI report (forgot to look into it last time). The neuro was great and made me a copy. He issued the Betaferon prescription and I now have it sitting happily in my fridge waiting for the injection training / first hit on Monday. Woo ...
But about the report! Some of you are very up on this so you might give me some more info maybe. Baically I have got MS and they all say so, I'm just interested in thoughts about this. Anyway ...
MRI SPINE
There is a lesion in the cord at C4-5 measuring 15 x 4 x 5mm lying in the left aspect of the cord. No further lesion is seen within the cord. Some minor degenerative changes are present but with no further neural compromise.
There is an incidental finding of an ovoid lesion lying within the right psoas measuring 33 x 17 x 17mm. This enhances markedly and the appearances are suggestive of a neuroma. However, I suspect this is unrelated to the patient clinical problem. No further neural compromise is seen within the spine.
MRI BRAIN
Multiple foci of increased signal are seen within the FLAIR and T2 weighted sequences. The lesions do not appear to enhance with contrast. In a male patient of this age the appearances are most likely due to demyelination, especially when combined with the cord appearances. No further haemorrhage, infarction, mass lesion or other focal abnormality is apparent.
CONCLUSION
Demyelinating plaques within the cerebral white matter and cervical cord consistent with MS. There is an incidental finding of a neuroma in the right psoas of doubtful significance. No further pathology is apparent.
So yeh, I guess my neuro isn't getting kickbacks from Schering for the Betaferon prescription, or the radiologist is in on it too. Damnit, its really hard to maintain a quality extended denial period with this sort of thing on paper ;)
I looked up neuroma and shouldn't have. It means tumor! Though its nice to note that nobody thinks its serious. Keep hearing Arnold Schwarzenegger saying "its not a tumorrr" over and over though :D
So, anyone who is a budding MRI expert have comment? Sounds pretty clear cut, which I guess is why I'm getting all these expensive drugs and all ...
Had an appointment with my neurologist today and had a look at the MRI report (forgot to look into it last time). The neuro was great and made me a copy. He issued the Betaferon prescription and I now have it sitting happily in my fridge waiting for the injection training / first hit on Monday. Woo ...
But about the report! Some of you are very up on this so you might give me some more info maybe. Baically I have got MS and they all say so, I'm just interested in thoughts about this. Anyway ...
MRI SPINE
There is a lesion in the cord at C4-5 measuring 15 x 4 x 5mm lying in the left aspect of the cord. No further lesion is seen within the cord. Some minor degenerative changes are present but with no further neural compromise.
There is an incidental finding of an ovoid lesion lying within the right psoas measuring 33 x 17 x 17mm. This enhances markedly and the appearances are suggestive of a neuroma. However, I suspect this is unrelated to the patient clinical problem. No further neural compromise is seen within the spine.
MRI BRAIN
Multiple foci of increased signal are seen within the FLAIR and T2 weighted sequences. The lesions do not appear to enhance with contrast. In a male patient of this age the appearances are most likely due to demyelination, especially when combined with the cord appearances. No further haemorrhage, infarction, mass lesion or other focal abnormality is apparent.
CONCLUSION
Demyelinating plaques within the cerebral white matter and cervical cord consistent with MS. There is an incidental finding of a neuroma in the right psoas of doubtful significance. No further pathology is apparent.
So yeh, I guess my neuro isn't getting kickbacks from Schering for the Betaferon prescription, or the radiologist is in on it too. Damnit, its really hard to maintain a quality extended denial period with this sort of thing on paper ;)
I looked up neuroma and shouldn't have. It means tumor! Though its nice to note that nobody thinks its serious. Keep hearing Arnold Schwarzenegger saying "its not a tumorrr" over and over though :D
So, anyone who is a budding MRI expert have comment? Sounds pretty clear cut, which I guess is why I'm getting all these expensive drugs and all ...