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Just got results of MRI done Friday, March 9, 2018: No -

Customer Question
Just got results of...

Just got results of MRI done Friday, March 9, 2018:

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

No - have had trigeminal neuralgia and problems with right side of head/ear, etc. Here is a copy of results i just received;MRI BRAIN AND IAC W/WO CONTRAST - Details
Study Result
ImpressionIMPRESSION:1. No acute intracranial ischemia or mass.2. Moderate parenchymal atrophy, sequela of chronic small vessel ischemic change, and intracranial atherosclerosis.
NarrativeDICTATING PHYSICIAN: Mikala Brinkman, M.D.EXAM: MRI of the brain and internal auditory canals with and without contrast 3/9/2018COMPARISON: 11/24/2014, 8/10/2012, 1/5/2011HISTORY: Right ear pain and pressure for 2 weeks. Pulsation in the ER. History of trigeminal neuralgia and tinnitus. Intermittent dizziness and headache. History of TIA.PROCEDURE: 16 mL ProHance IV contrast administered.FINDINGS: Moderate parenchymal atrophy with ventriculomegaly and prominence of the sulci and basal cisterns. No hemorrhage, acute infarct, mass, midline shift, or extra-axial fluid collection. No significant change in appearance of high T2/FLAIR signal intensity areas within the supratentorial white matter, most significant in the periventricular deep white matter. The deep nuclei, brainstem, and cerebellum are unremarkable.No CP angle mass or enhancing mass lesions are seen along the auditory canals. No significant retained secretions in the mastoid air cells. Midline structures including the corpus callosum, optic chiasm, pituitary gland, and visualized upper cervical spine and spinal cord have a normal MRI appearance. Cerebellar tonsils are in satisfactory position. Visualized orbital contents are unremarkable. Mild mucosal thickening in the paranasal sinuses most significant in the ethmoid and maxillary sinuses.No evidence for dural sinus thrombosis. The intracranial vessels show postcontrast enhancement. There is moderate luminal narrowing in the region of cavernous and paraclinoid internal carotid arteries likely related to plaque. There is moderate to marked luminal narrowing involving the distal left vertebral artery also likely related to plaque. No abnormal dural thickening or enhancement.
Component ResultsThere is no component information for this result.
General Information
Collected:03/09/2018 9:59 AM

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

I have nausea often, but don't usually have problems with headaches - the TN causes severe pain, as does the ear situation at times.

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

I am type 2 diabetic, but do not take medicine - use diet/exercise to control, have history of high bp since 1994. Lots of anxiety and depression throughout whole life. Problems with muscles in my legs.

Submitted: 4 months ago.Category: Neurology
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3/11/2018
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
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Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

Do you take any other meds?

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Customer reply replied 4 months ago
I take Losartan, metropolol, amlodipine, Xanax and vitamins and supplements. Use generic Tylenol Pm - 1 capsule each night.
Neurologist: Dr. Phil, MD, Medical Doctor replied 4 months ago

how old are you?

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