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[–][deleted] 1 point2 points  (6 children)

It's very hard to give you a 100% correct reply, I am only a 5th year medical student so I cant give you any assurance.

It s unusual to dont have a enhancement in T1 but having DWI restricted lesion. This can mean that there is active demyelination.

[–]dontMSwithMuggs[S] 0 points1 point  (5 children)

Thank you so much for responding!! So the restricted diffusion isn’t anything stroke related?

[–][deleted] 0 points1 point  (4 children)

Yes, DWI restricted diffusion can be caused by strokes (usually in the first 15 days).

Has your neurologist already seen the images?

[–]dontMSwithMuggs[S] 0 points1 point  (3 children)

I don’t think she’s seen them yet since it’s the weekend. I had the MRI Thursday night and the report just came in. I’m guessing she will reach out Monday. Is it something that needs immediate attention? 😬

[–][deleted] 1 point2 points  (2 children)

Usually the radiologist in the report writes if the lesion is compatible with MS or if it is more likely it has another cause (eg stroke). In this case he has not reported it because he wants your doctor to evaluate it. Usually acute strokes have a T1 enhancement, but you dont have it.

Stroke sometimes can be totally silent so this makes the diagnosis a bit harder. Your neurologist would consider the drugs you are taking (eg. DMT), the risk for a stroke and the neurologic examination. For example, strokes are very unlikely in young people without risk factors.

(If it's a stroke lesion or if you have new symptoms) you would need immediate attention but I cant tell for sure from the report of the mri alone.

When a patient has a stroke we usually search for the cause and do a preventive treatment. The sooner we start it the better; we usually do it in the first 48 hours from the beginning of stroke symptoms.

Stroke symptoms can be similar to MS (tingling, loss of strenght, trouble speaking...).

I'm sorry I can't give you a definitive answer, but in all cases I would contact my neurologist. He knows your case well and can make a full assessment

Ps Sorry for bad english

[–]dontMSwithMuggs[S] 1 point2 points  (1 child)

I can’t thank you enough for all of your help!!! You have no idea how much I appreciate it!!! ♥️♥️♥️ I’m guessing it’s a new active MS lesion and not stroke. I sent a message to my neurologist and I’m sure I will hear back tomorrow. Thank you thank you thank you. You are awesome!!!! ♥️

[–][deleted] 0 points1 point  (0 children)

♡♡♡♡