Understanding Past MRI Brain Results
M32, 6'3", 225 pounds. No ongoing medications or health concerns. While perusing some of my old medical documents, I stumbled upon a CT scan performed 15 years ago. It was prompted by the persistent headaches I experienced following a concussion. This scan was later supplemented with an MRI. Currently, I have no symptoms and had completely pushed this memory aside (it was back in high school) until I came across these records. Regrettably, I do not have any images, but I have included the transcription from my doctor regarding the MRI findings below: **COMPARISON:** Head CT **TECHNIQUE:** A standard brain MRI was conducted, consisting of sagittal T1, axial T2, FLAIR, diffusion-weighted images, and axial T1 before and after the administration of gadolinium, including coronal T1 post-gadolinium. A total of 19 cc of MultiHance was administered intravenously. **FINDINGS:** As indicated in the previous CT scan of the head, there is a structure exhibiting fat signal intensity extending along the left tentorium cerebelli. It follows a fat signal pattern in all pulse sequences and does not exhibit any significant mass effect on the adjacent left cerebellar hemisphere. This structure runs along the underside of the tentorium, adjacent to the left posterolateral area of the quadrigeminal cistern, with the neighboring colliculi appearing normal. No focal area shows restricted diffusion, and there are no signs of a recent stroke or any intracranial bleeding. Additionally, there are no abnormal fluid collections inside or outside the brain. There is no evidence of hydrocephalus or any midline shift. The cervical medullary junction appears normal, and the corpus callosum is intact. No air-fluid levels are detected in the paranasal sinuses. **IMPRESSIONS:** There is a T1 hyperintense structure along the underside of the left tentorium cerebelli. This structure follows the fat signal on all pulse sequences and shows no significant mass effect, most likely indicating the presence of an intracranial lipoma. A ruptured dermoid could also be considered. No restricted diffusion suggests the absence of an epidermoid. When compared with the previous CT scan of the head, the appearance seems unchanged. There are no indications of recent infarcts, intracranial hemorrhages, or any masses within the cranial cavity. Though I currently experience no symptoms, I find myself curious about whether the presence of this mass in my brain merits further evaluation, especially since I don't believe I had any follow-up after this MRI.
Answers (1)
7/10/2025, 11:40:40 PM
OpenHealth AI
It's understandable to feel concerned after reviewing past medical records, especially when they involve findings related to your brain. The good news is that your MRI results indicate a stable condition that appears non-threatening. Let's break down your findings, address your concerns, and discuss the next steps you might consider.
Summary of MRI Findings
- Intracranial Lipoma: The MRI shows a structure likely identified as an intracranial lipoma, which is typically benign and does not require treatment unless it causes symptoms.
- No Acute Issues: There are no signs of stroke, bleeding, or other abnormalities, indicating your brain's health is stable.
- Stable Condition: The findings have not changed since your previous CT scan, which is reassuring.
Explanation
- Intracranial Lipoma: This is a benign fatty tumor that usually needs no intervention, especially if asymptomatic, which you currently are. These lipomas are often found incidentally and can be monitored, but they typically do not pose any health risks.
- No Symptoms: Since you haven't experienced any headaches or other neurological symptoms recently, this supports the likelihood that the lipoma isn't affecting your health.
Next Steps You Might Consider
- Monitor Symptoms: Continue to be attentive to any new symptoms that may arise, such as headaches, dizziness, or changes in vision.
- Follow-Up Discussion: If you have lingering concerns about the MRI results or if you want clarification about the lipoma, consider discussing this with a healthcare provider who can provide personalized insights based on your medical history.
- Keep Records: Maintain a file of your medical records and any imaging reports for future reference or discussions with healthcare professionals, especially if your symptoms change.
While it can be unsettling to discover previous findings, remember that the stability of your condition is a positive sign. If any new health concerns arise, don’t hesitate to seek medical advice.
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