Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I need to have an MRI interpreted. Headaches, confusion,

I need to have...

I need to have an MRI interpreted

Doctor's Assistant: Do you have frequent headaches? Any issues with coordination or balance?

Yes, headaches, confusion, brain fog

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

No nausea, both episodic and daily pain in the head. I have a brain MRI that I need interpreted.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Also have consulted with a cervical spine specialist with emphasis on the atlas. We have x-rays and a report on the upper spine.

Show More
Show Less
Ask Your Own Neurology Question
Answered in 7 minutes by:
3/5/2018
Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 12,727
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery
Verified

Hello -

I can help with your MRI.

Do you have a report, or the images?

Ask Your Own Neurology Question
Customer reply replied 4 months ago
I'll be picking up the MRI image this afternoon and I can upload it later today. It was taken a couple months ago but I had given my copy to a practitioner I am no longer seeing.
Customer reply replied 4 months ago
The practitioner was a neurosurgeon who interpreted the MRI but did not provide a written report. This neurosurgeon took sick and I have not been able to obtain a written report. The verbal interpretation I received was that there was inflammation around the front sinuses and also indication of cerebrospinal fluid toward the rear of the brain. I have since consulted a spinal/atlas specialist who confirms atlas and spinal misalignment using x-rays of the spine. I am in the process of applying for long-term disability and I need a written report from a neurologist to confirm what the atlas/spine specialist has said, and what the previous neurologist reported but did not write; which is that there appears to be a retention of fluid within the brain and that is causing my symptoms; i.e., pain, confusion, brain fog, etc.
Customer reply replied 4 months ago
Will you be available later today/tomorrow to receive the MRI images?

Sure - just add the report and I can look at the images.

However, because this is only an information site, and that I am not your treating physician, we can't write any type of legal document concerning imaging findings and how they would correlate with any injury or disability.

That type of report needs to come from a physician who has seen you in person.

(A note from someone online would immediately be dismissed and be invalid)

Ask Your Own Neurology Question
Customer reply replied 4 months ago
Ok, it would at least help for us to obtain a second opinion on this MRI interpretation. How late can I forward this info to you today?

At any time; I check this account periodically throughout the day, and if it's late tonight, you'll have an answer by tomorrow morning 7:30 EST.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
Is there a file size restriction? I may need to load images separately. There were several angles taken. Do you have preference on which angle/aspect?

No real preference on the angle, but T2 images are more helpful at looking at cerebrospinal fluid issues.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
There were three T2 series on the MRI Disk. I have uploaded the series titled "t2_blade_tra_320_MR". Here are the first twenty screen captures from the first series of the fourth study on the MRI disk. I will forward the remaining screen captures from this study on the next message.
Customer reply replied 4 months ago
Here are the remaining images from the above series titled "t2_blade_tra_320_MR" for a total of 38 images.
Customer reply replied 4 months ago
Here I have uploaded the series titled "t2_fl2d_AX HEMO (MR)" from the same study. Here are the first twenty screen captures from the series on the MRI disk. I will forward the remaining screen captures from this study on the next message.
Customer reply replied 4 months ago
Here are the remaining images from the above series titled "t2_fl2d_AX HEMO (MR)" for a total of 38 images.
Customer reply replied 4 months ago
Here I have uploaded the series titled "t2_tse_COR (MR)". Here are the first twenty screen captures on the MRI disk. I will forward the remaining screen captures from this study on the next message.
Customer reply replied 4 months ago
Here are the remaining images from the above series titled "t2_tse_COR (MR)" for a total of 38 images. This is the last T2 series that was taken and recorded on the MRI disk. I will contact you tomorrow after I have reviewed your analysis; since it is fairly late here I anticipate that I won't be back online until late morning or mid-day. Thanks for your assistance with this case.
Hello-Unfortunately these all seem to be single pictures, not a series of pictures. I don’t see an area of obvious abnormality on these images but they are incomplete. Probably only 20 percent of the images are included here. Maybe a movie file, short video of the mri with you scrolling through the mri would be more helpful?
Ask Your Own Neurology Question
Customer reply replied 4 months ago
Each series I have submitted is complete, and each consists of exactly 38 images. I have uploaded a screen capture of the study's series description so that you may confirm that each series is complete. There are alternate series included, but they are not T2 studies.
Customer reply replied 4 months ago
I attempted to upload the DICOM images directly, however the justanswer.com site will only accept standard image files, .jpg, .bmp, etc.
Customer reply replied 4 months ago
Is there an alternate email address where I can upload the DICOM images directly? Then you can use your own software to run through the images and view them directly.
Customer reply replied 4 months ago
This is ridiculous. Justanswer.com advertises this site as a way to obtain an expert opinion from a Neurologist, but it has no mechanism for uploading the basic diagnostic tool of the Neurologist--the direct MRI study. I am going to complain to the site that this essential function is missing from their site. (this obviously is not your fault but impacts the effectiveness of the service I may receive from you)
Customer reply replied 4 months ago
If I were able to upload the DICOM images to an FTP folder, would you be able to access them if I provided you with the FTP address for download?
Customer reply replied 4 months ago
I contacted the Justanswer.com representative via chatbox and he told me that I can try to send you the DICOM images to you directly by attaching them to an email addressed to Justanswer.com support. Would you be able to upload the images to your MRI viewer software directly that way?
Customer reply replied 4 months ago
Have you decided not to respond any more?

If I can get the DICOM images I will give you my interpretation.

Some people make a video and post it onto youtube as well.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
do you have a preference of which T2 study you would prefer?
Customer reply replied 4 months ago
if I try to do all three T2 studies, that would be 114 attachments
Customer reply replied 4 months ago
I'll look into trying to post a youtube video; I'll have to figure that one out.
People use the video on their camera, scroll through the images on their computer while taking a video of it, and upload the video. The axial and sagittal images are fine
Ask Your Own Neurology Question
Customer reply replied 4 months ago
I'm not familiar with the terms axial and sagittal, I only know the names of the series. Is there a particular series? I have three:
1. t2_blade_tra_320_MR
2. t2_fl2d_AX HEMO (MR)
3. t2_tse_COR (MR)
Please let me know if you prefer selection 1, 2, or 3.
Customer reply replied 4 months ago
I copied the images from the fourth folder of the study to an email and forwarded it to the Justanswer.com support email address. I think that the folder contains the t2_blade_tra_320_MR series, but I'm not sure since the folders are not labeled, just numbered. I'll also send the images from the 10th folder; I think those are of the t2_tse_COR (MR) series. If you cannot read these images I'll try to make a video and post it to youtube.

Hello-

OK.

I do see inflammation in the left maxillary sinus (sinus infection/inflammation).

You cannot see the atlas (C1) on the MRI to make any interpretation on this area.

And I am not sure exactly what you are referring to with the cerebrospinal fluid in the back of the brain -- you do not have a cisterna magna, you do not have hydrocephalus, you do not have a Chiari. There may be a very, very small arachnoid cyst in the medial left occipital lobe, but that is not causing any issues.

Did you also ask the imaging center for their written report on the MRI? This would have been written by a neuro-radiologist, and would provide documentation for any issues you may have.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
we do have the report from the imaging center. It states:
(1367663) MRBRAINWWO – MRI BRAIN WITH AND WITHOUT CONTRAST
Clinical indication: 59yo female. DX:HAs, memory issues, shooting pain in head. Pt states new onset intermittent HAs x 5 weeks. no injury. ,10/12/17 bun 14 cre 0.76 gfr .60 12ml Prohance inj 22 angiocath RAC>
Comprisons: CT sinus report from Presbyterian dated 10/3/2011.
AICRAD
Exam: MRI BRAIN WITH AND WITHOUT CONTRAST 12 mL of IV ProHance contrast.
Findings: There are several small patchy and scattered foci of T2 signal alteration in the central white matter and subcortical regions.
None of these lesions enhance on the postgadolinium sequences.
The major arterial and venous flow voids appear normal.
There is mild diffuse cortical volume loss.
The visualized internal auditory canals are unremarkable.
There is mild polypoid mucosal disease in the left>right maxillary sinuses, and the ethmoid air cells, with small air-fluid levels in the bilateral maxillary sinuses. There is nasoseptal deviation convex right. There is no significant opacification the mastoid air cells.
The visualized parotid glands are negative.
The visualized TMJs are located bilaterally.
The visualized globes and orbital contents are negative.
The cranio-cervical junction is normal.
The images are slightly compromised secondary to patient tilt / positioning on the MRI scanner.
IMPRESSION:
1. There are several small patchy and scattered foci of T2 signal alteration in the central white matter – these findings are nonspecific regarding etiology – and may be seen in Mild to moderate small vessel ischemic disease, migraines, hypertension. Clinical correlation is advised.
2. Otherwise – there are NO ACUTE intracranial findings – there is NO acute infarction, acute intracranial hemorrhage, nor intraparenchymal masses.
3. There is mild polypoid scattered paranasal sinus disease, with small air-fluid levels in bilateral maxillary sinuses, as detailed above.
If there is strong clinical concern to further evaluate the paranasal sinuses for disease – a dedicated (outpatient elective) CT of the Sinuses may be of further benefit.4. There are other minor findings as detailed above.
Customer reply replied 4 months ago
The Neuro Surgeon I cited above who took sick is the person who told us that she observed cerebrospinal inflammation/retention issues. She is no longer available to provide written reports, and she did not provide us a written report after she interpreted the MRI for us in her office.
Customer reply replied 4 months ago
The Neuro Surgeon is not the same person who provided the report from the imaging center.
Customer reply replied 4 months ago
I do have a complete and detailed x-ray of the spinal area including the atlas. Would it be helpful?
Customer reply replied 4 months ago
By the way, I mentioned to the Justanswer.com representative that there does not appear a way to upload MRI images directly via the website. Perhaps you could speak to them also regarding this upload issue also.

I don't see any evidence on the MRI to say there is hydrocephalus (the fluid building up in the brain - "retention" issues), and the MRI report basically says the same thing.

I'm not sure what the neurosurgeon is referring to when she mentioned cerebrospinal inflammation issues. Perhaps getting her last office note would be helpful in trying to figure out what she meant by her statement?

The xray wouldn't be too helpful, as that just looks at the bony architecture of the spine, looking for fractures or alignment issues. You cannot tell anything about cerebrospinal inflammation issues on the xrays.

Ask Your Own Neurology Question
Customer reply replied 4 months ago
Thanks for your help with this analysis. I'm glad that I was able to get you the actual DICOM images. I hope that Justanswer.com is able to resolve the issues of uploading MRI images directly--I'm sure that would assist you in your analyses in the future.

Yes, it would be helpful to be able to upload any type of file, as it is very painful to upload a single image at a time, when most MRIs have over 200 separate images.

Ask Your Own Neurology Question

I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!

Ask Your Own Neurology Question
Customer reply replied 4 months ago
I do have another request. I don't know whether you can infer any neurological condition from X-rays, but I have loaded some images for you to review. They were taken by an atlas specialist who has superimposed some interpretative notes and lines. Please let me know if you can make any comment on these. I have awarded you a five-star rating, you have been very candid and helpful with your assessment.

Well, the measurements on the xrays just show a very mild curvature (scoliosis), which is not really clinically important. It could be that you were just leaning slightly when they took the xray.

What I do see is that you have significant C5-6 degeneration on your neck xray, and that this could theorectically be a reason for neck and arm pains. If you do have that, MRI imaging of the spine may be useful for you.

I don't see anything wrong with your atlas.

Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 12,727
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery
Verified
Dr. Mark and 87 other Neurology Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
We have ordered additional MRI images for the upper cervical area and the lower lumbar region because of sciatica. Your analysis confirms our other analysis of degeneration in the C5-6 area. That confirmation of previous analysis has been very helpful.
Now I am trying to explain the tenseness I continually have in my neck area. It seems like the neck muscles are in constant tension and I get spasms in my neck. Could those spasms be a result of the degeneration of the C5-6? What therapies are available to treat that kind of degeneration? I am seeing an atlas chiropractic specialist but I don't know if that therapy is going to help degeneration issues. When you say degeneration, does that mean degeneration of the bone or degeneration of the disks or something else?
Customer reply replied 4 months ago
What are the typical symptoms of degeneration of the C5-6 area? Do you mean degeneration of the disks or of the bones?

There is degeneration of the C5-6 disc, which can result in increased pressure on the joints of the neck (arthritis) or put pressure on the nerves in the neck (radiculopathy) - which can cause neck spasms.

The MRI of the cervical spine will be helpful, in figuring out what may be helpful in treatment. Physical therapy, epidural steroid injections, medications, surgery are all options.

Ask Your Own Neurology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a neurologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Mark Your Own Question
Dr. Mark
Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 12,727
12,727 Satisfied Customers
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery

Dr. Mark is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

12,727 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,773 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I have arthritis in my cervical spine. I have had RA and
I have arthritis in my cervical spine. I have had RA and still have pain in my shoulders, neck and headaches. I work on a computer 10 hrs per day. I have been taking Meloxicam and Baclofen without muc… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
34,137 satisfied customers
I am a. 44 year old female I had a injury where I heard a
I am a. 44 year old female I had a injury where I heard a pop in my T-spine during heavy lifting, followed by a second pop with burning pain up my spine and became increasing more painful, it was extr… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
12,727 satisfied customers
I had a mild concussion 25 days ago. I went to the ER and
I had a mild concussion 25 days ago. I went to the ER and was told to rest...I did for about 4 days then started back with my workouts and normal running around with the kids and errands. I had a week… read more
Dr. Chip
Dr. Chip
M.D.
13,101 satisfied customers
I'm not sure but definitely not yet, Pearl. Thanks. But just
I'm not sure but definitely not yet, Pearl. Thanks. … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
12,727 satisfied customers
My wife's had MRI recently, with some results showing some
My wife's had MRI recently, with some results showing some solitary gliosis. Family doctor does not pay any attention to it, but my wife suffers from everyday headaches. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,841 satisfied customers
I suffer from severe headaches several times a week. Pcp
I suffer from severe headaches several times a week. Pcp said migraine but the meds dont work. New pcp said tension headache because i also getna stiff and painful neck, but i dont feel stressed. Mass… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I got the results from a mri because I am have been
I got the results from a mri because I am have been experiencing chronic headaches for a couple of weeks (I had Chiari Malformation surghery about 7 years ago) and had been headache free for years The… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I am a 52 year old woman with asthma and osteopenia. I have
I am a 52 year old woman with asthma and osteopenia. I have a question about a head injury. On Saturday afternoon around 2:30, I was putting away groceries and spilled blueberries all over the floor. … read more
Dr. Chip
Dr. Chip
M.D.
13,101 satisfied customers
I was reading a question that someone asked about the
I was reading a question that someone asked about the difference between BFS / Cramping BFS and Fibromyalgia. My interest in that subject is that there are many instances of people overcoming Fibromya… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,773 satisfied customers
I am having a headache in the back of my head in the right
Hello, I am having a headache in the back of my head in the right side that radiates through the top of the head sometime till the eyes. I have been suffering from this since last one month and consul… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I had an MRI yesterday of my cervical spine due to head and
I had an MRI yesterday of my cervical spine due to head and neck pain. Doctor found nothing was wrong with my neck or joints. He is a back and neck specialist. When I was looking closer at the other s… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,773 satisfied customers
I would really like it if I could get some advice on my
Hello I would really like it if I could get some advice on my reoccuirng, never ending headaches. Since June of 2014 I've been dealing with reoccurring, chronic headaches (more than 15 days a month) I… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I have been having arm pain, mostly in elbow area, and
Hello, I have been having arm pain, mostly in elbow area, and recently it has also been tingling/burning. There is much history with me, neurologically speaking and I feel as though the doctors I have… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I have been having migraine like headaches for a few years
I have been having migraine like headaches for a few years now. Recently i did a brain MRI, CT scan and CT scan Angiogram. At first the doctor based on the MRI and my D-Dimer results (which were at 63… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
32 yr old with constant rectified cervicals since as as i
32 yr old with constant rectified cervicals since as long as i remember. Living with episodes of moderate pain but severe disconfort and constant crackings of The neck to help with the disconfort . Fa… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Where to begin? For the past eight months I haven't been
Where to begin? For the past eight months I haven't been feeling well. I have been having a lot of pain in the same area of my head. Some days the pain was worst than others and I just dealt with it b… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
12,727 satisfied customers
I i have been having headaches and a pressure in my head it
I i have been having headaches and a pressure in my head it feels like something is sqqueezing together in my head then i get a numb feeling in my face sometime. I get a burning sensation in my arms. … read more
CaliforniaMD
CaliforniaMD
Post-Doctoral Degree
1,419 satisfied customers
I was walking to my car and slipped on fresh snow covering
I was walking to my car and slipped on fresh snow covering thick ice on 10/18. I found myself on the ground and immediately jumped to my feet not knowing at first what had happened. I felt like someon… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
12,727 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x