Cervical MRI Reveals Unexplained Hyperintensities in Brain
Age: 29 I meant to say hyperintensities. Background: I've been diagnosed with hip dysplasia, polycystic ovary syndrome (PCOS) characterized by atypical hormone levels (low blood estrogen/higher tissue estrogen with regular androgens), psoriasis, and experienced a minor concussion at age 15 from a softball hitting my face (briefly lost consciousness). I also have suspected hypermobile Ehlers-Danlos syndrome (hEDS) and dysautonomia. Currently, I am taking Focalin XR at a dosage of 20 mg per day. Recently, I underwent a cervical MRI due to persistent neck discomfort. I understand that the MRI protocols are specifically designed to focus on the area of concern, which in this case was my cervical spine and not the brain. However, out of curiosity, I examined the MRI images and spotted several bright white areas on my brain across various slices. The radiologist did not address these regions, likely because they did not have access to my comprehensive medical history. Given my existing issues with nervous system regulation, would it be beneficial to pursue a dedicated brain MRI to explore the potential significance of these bright areas? I’m not trying to create unnecessary alarm since my symptoms do not align with neurodegenerative disorders—although I have developed major depressive disorder (MDD) recently. That said, confirming a structural but stable explanation for my systemic symptoms would provide a sense of relief. Would it be inappropriate to request a brain MRI? Should I consider asking for a functional MRI (fMRI) or perhaps another type?
Answers (1)
12/16/2025, 9:40:35 PM
OpenHealth AI
Main Points: It's understandable to be concerned about the hyperintensities you noticed on your MRI. Given your medical history and current symptoms, pursuing a brain MRI could be a reasonable step for clarification. Here's how you might approach this situation.
Explanation: Hyperintensities on MRI can represent various conditions, including normal variations, inflammation, and lesions associated with different medical conditions. Since you have a complex medical history with issues relating to the nervous system and other chronic conditions, it’s natural to seek clarity on these findings. While it’s reassuring that your symptoms do not strongly indicate neurodegenerative disorders, ensuring nothing is overlooked is important for your peace of mind.
Requesting a brain MRI is not inappropriate, especially if the findings could impact your management or understanding of your overall health. A functional MRI (fMRI) is more specialized and often used for different purposes, such as assessing brain activity, so a standard brain MRI would likely be the first step.
Next Steps:
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Document Your Concerns: Write down your observations, including the MRI findings and any relevant symptoms you may be experiencing. This will help you articulate your concerns to your healthcare provider easily.
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Consult Your Healthcare Provider: Schedule an appointment with your doctor to discuss the MRI findings. Share your documentation and express your desire for a brain MRI for clarification, as this will be important for assessing any potential implications for your health.
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Discuss Symptoms: During your appointment, outline any new or ongoing symptoms, particularly your major depressive disorder, as they may influence your overall management strategy.
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Stay Informed But Calm: While awaiting results, avoid unnecessary stress. Engage in supportive activities like talking with trusted friends or seeking professional support, especially for the aspects related to your major depressive disorder.
It's completely reasonable to advocate for your health, and seeking answers about your MRI findings is a proactive step. Please let me know if you need more specific information or have other questions!
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