Do the radiological terms mentioned in the MRI reports be a matter of concern?

Question

Hello doctor,

I want my MRI reports to be interpreted. Kindly suggest.

Impression:

1. There is no evidence of CP angle, TH, 8th nerve bundle mass, abnormal enhancement, or plasma. There is an ectatic vertebrobasilar artery eccentric to the right, crossing in close proximity to the tight auditory canal.

2. Normal white matter tracts without lesions to suggest significant microvascular disease, demyelinating process, or edema-associated neoplasm. There were nonspecific white matter lesions in the frontal lobes bilaterally.

3. No supratentorial enhancement to suggest mass or breakdown of the blood-brain barrier.

Answer 1

Hello,

Welcome to icliniq.com.

I read your MRI report (attachment removed to protect the patient's identity). It is generally normal. The issue of the eccentric vertebrobasilar artery (VTA) is no sign of a disease or an important defect. VTA is one of the main arteries that supply blood to the brain. Especially it supplies the brainstem. Normally two vertebral arteries join together and make a basilar artery. Sometimes, this basilar artery may be eccentric. It means that instead of being straight, it may be an "S" shape or deviate to the right or left. It is difficult for me to interpret your MRI (magnetic resonance imaging) completely without seeing the captured images, but the report says that your basil at the artery has deviated to the right side. It does not sound like an important issue clinically. I hope I have cleared your doubts.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Your report says "Normal white matter tracts without lesions suggest significant microvascular disease, demyelinating process, or edema-associated neoplasm. There were non-specific white matter lesions in the frontal lobes bilaterally."

I cannot completely explain this issue, but as I know the routines of our radiologist fellows, I can guess the reason. They have some checklists during the report of each body part imaging. By checking them, the statement will insert in the report. So, the radiologist concluded that you do not have microvascular or demyelinating lesions, so this statement was inserted. Meanwhile, there were some non-typical signals in your frontal area, and they were noted in the second paragraph. It is my perception from reading the report. If you are concerned about the signals in the frontal lobes, I need to see the images to give a diagnosis. I also need to know the complaints or symptoms that caused the prescription for a brain MRI (magnetic resonance imaging). I hope I have cleared your doubts.

Thank you.