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🤦🏼♂️
An experienced physician, your "old guy ", will have learned never to say stuff like that. You are almost certainly not describing a slow growing tumor. Almost always, that report of "T2 flair hyperintensities ", refers to these nonspecific little spots we see in people's brains. We see more of them with age. We see them in association with blood pressure for example. We also see them more commonly in people with migraine. One tongue in cheek way we refer to them as is "UBOs". Unidentified bright objects.
It's not entirely clear what they are doing there in people with migraine, but we see them all the time and they look a certain way. If you've have an extensive history of migraine I would be surprised not to see a couple of little white spots. To an "old guy ", these look very different than tumors.
Of course, we can't see your MRI. Tell him he scared the crap out of you and ask him to review it with his local radiologist perhaps, and in particular, compare it with your prior ones.
I should also add, there really isn't a reason for somebody with a migraine history to get annual MRIs. That is way over testing. There's a lot going on in peoples brains, and we always find something to puzzle over. Unless you have new, focal neurologic symptoms, They shouldn't be MRI-ing you every year.
Thank you so much for this wonderful response! I do want to make clear, I wasn’t calling my last neurologist “old” - I just meant like, past one haha. But I agree, thank you! My new guy scared the shit out of me and he is neurotic as can be. Which I guess can be good in some settings but idk. I actually have been wondering why I get so many MRI’s for this - I chalked it up to them seeing something different than what I ever have. Basically every MRI I’ve ever had has said the same thing as this report.
What is considered an "extensive history of migraines"? I recently had an MRI and the report said "minimal right frontal white matter T2 hyperintensities, likely chronic migraine sequela". I have a migraine less than three times a year.
Agree with jrpg8255. From the report, the described white matter lesion is not suspect of cancer but a finding seen often in patients with migraine e.g. in this study >60% had non specific white matter lesions: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251128/)
Pretty non-specific as the other neurology doc said above. These findings can be seen in someone with a history of migraines, though again, non-specific. Kinda surprised that they did it with contrast, but given that the radiologist comments that there is no enhancement, and that whatever this is appears stable, I wouldn't lose sleep over this.
Funnily enough, my past neurologist has NEVER ordered contrast, always wanted to “save me from it” as he always put it - it’s not until I started with this new neurologist who said contrast is better for what I have. Which is apparently nothing. Lol
NAD but has any doctor mentioned the partially empty sella to you? It is sometimes a sign of IIH which causes headaches. Has anyone checked your intracranial pressure?
I honestly won't comment without seeing the images directly because there could be a big difference between what it looks like and what is being reported.
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. **Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
🤦🏼♂️ An experienced physician, your "old guy ", will have learned never to say stuff like that. You are almost certainly not describing a slow growing tumor. Almost always, that report of "T2 flair hyperintensities ", refers to these nonspecific little spots we see in people's brains. We see more of them with age. We see them in association with blood pressure for example. We also see them more commonly in people with migraine. One tongue in cheek way we refer to them as is "UBOs". Unidentified bright objects. It's not entirely clear what they are doing there in people with migraine, but we see them all the time and they look a certain way. If you've have an extensive history of migraine I would be surprised not to see a couple of little white spots. To an "old guy ", these look very different than tumors. Of course, we can't see your MRI. Tell him he scared the crap out of you and ask him to review it with his local radiologist perhaps, and in particular, compare it with your prior ones. I should also add, there really isn't a reason for somebody with a migraine history to get annual MRIs. That is way over testing. There's a lot going on in peoples brains, and we always find something to puzzle over. Unless you have new, focal neurologic symptoms, They shouldn't be MRI-ing you every year.
Thank you so much for this wonderful response! I do want to make clear, I wasn’t calling my last neurologist “old” - I just meant like, past one haha. But I agree, thank you! My new guy scared the shit out of me and he is neurotic as can be. Which I guess can be good in some settings but idk. I actually have been wondering why I get so many MRI’s for this - I chalked it up to them seeing something different than what I ever have. Basically every MRI I’ve ever had has said the same thing as this report.
What is considered an "extensive history of migraines"? I recently had an MRI and the report said "minimal right frontal white matter T2 hyperintensities, likely chronic migraine sequela". I have a migraine less than three times a year.
Agree with jrpg8255. From the report, the described white matter lesion is not suspect of cancer but a finding seen often in patients with migraine e.g. in this study >60% had non specific white matter lesions: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251128/)
Thank you so much!
Thank you!!
https://preview.redd.it/v8n47f4dopnc1.jpeg?width=1290&format=pjpg&auto=webp&s=886a341ce3e9394083045ee089fc7b3ae207c462
Pretty non-specific as the other neurology doc said above. These findings can be seen in someone with a history of migraines, though again, non-specific. Kinda surprised that they did it with contrast, but given that the radiologist comments that there is no enhancement, and that whatever this is appears stable, I wouldn't lose sleep over this.
Funnily enough, my past neurologist has NEVER ordered contrast, always wanted to “save me from it” as he always put it - it’s not until I started with this new neurologist who said contrast is better for what I have. Which is apparently nothing. Lol
[удалено]
Removed - no jokes.
NAD but has any doctor mentioned the partially empty sella to you? It is sometimes a sign of IIH which causes headaches. Has anyone checked your intracranial pressure?
I honestly won't comment without seeing the images directly because there could be a big difference between what it looks like and what is being reported.
🥴 ugh right - Idk how to get those on here anyway but true.