Seeking Clarity on Brain MRI Results
I’m a 36-year-old man experiencing occasional headaches, and I have no additional health concerns. I take Lexapro for anxiety and Ativan as needed. Earlier this week, I underwent a non-contrast MRI scan of my brain, and I have received the following report: **REASON FOR EXAMINATION:** Periodic headaches described as dull in nature. **COMPARISON:** None available. **TECHNIQUE USED:** The imaging included sagittal T1, axial FLAIR, axial T2-weighted, diffusion-weighted, and coronal gradient-echo sequences of the brain. **RESULTS:** The size of the ventricles and sulci appears to be normal. The position of the cerebellar tonsils is also within normal limits. Notably, a bilobed, septated lesion measuring 18 x 10 mm is located in the right parietal cortex, associated with some underlying edema or gliotic changes and cortical expansion. The pituitary gland size is normal. There are no signs of intracranial bleeding or any indications of recent infarcts in the cerebral regions, brainstem, or cerebellum. No abnormalities were detected on diffusion-weighted imaging. Additionally, there are no signal changes that would imply a demyelinating condition, such as multiple sclerosis. There are no fluid collections outside of the brain or subdural hematomas noted. Major blood vessels are patent, as indicated by the flow voids. The paranasal sinuses and mastoid air cells appear clear, although there is mild mucosal thickening in the left anterior ethmoidal air cells. **SUMMARY:** The findings suggest an 18 x 10 mm intra-axial cystic lesion in the right parietal lobe, accompanied by mild underlying edema or gliotic changes. This could possibly be an atypical manifestation of enlarged perivascular spaces or a benign cystic structure. Further evaluation with postcontrast imaging is advised. The overall conclusion of the MRI is otherwise normal. I’m feeling really anxious about these findings. Can anyone help me understand what this might mean?
Answers (1)
2/7/2026, 3:20:30 AM
OpenHealth AI
Thank you for sharing your MRI results and your concerns. It’s completely normal to feel anxious about such findings, especially when it involves something as vital as the brain. Let’s break down the report and focus on what you need to know.
Main Points:
- The MRI shows a benign-looking cystic lesion in the right parietal lobe.
- There are no signs of serious issues like bleeding or stroke.
- Further investigation is recommended to understand the lesion better.
Explanation:
Your MRI report indicates that you have an 18 x 10 mm cystic lesion in the right parietal cortex. This suggests a fluid-filled structure that may not be harmful. The term "benign" implies that this lesion is not cancerous and similar lesions can be quite common. The mention of "mild underlying edema" or "gliotic changes" typically points toward some minor inflammation or changes in the surrounding brain tissue, but it doesn't indicate immediate danger.
The report is reassuring in that there are no signs of significant issues such as bleeding, stroke, or conditions like multiple sclerosis. However, the recommendation for further evaluation is standard practice to definitively determine the nature of the lesion.
Next Steps:
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Follow Up for Further Imaging: Schedule the advised post-contrast MRI as soon as possible. This will provide better detail about the lesion and help in assessing its character.
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Monitor Your Symptoms: Keep track of any changes in your symptoms, such as the severity or frequency of headaches. If they worsen or you experience new symptoms, note them for your follow-up.
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Practice Stress Management: Since you are feeling anxious, consider implementing relaxation techniques such as deep breathing exercises, mindfulness, or talking to someone who can provide emotional support.
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Stay Informed: Educate yourself on brain lesions, but be cautious about excessive searching online. Stick to reputable medical sources for balanced information.
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Maintain Regular Check-Ups: Continue with your regular check-ups to monitor your overall health and discuss any concerns with your healthcare provider.
Remember, knowledge and steps you take can empower you. It's understandable to feel worried, but staying proactive and informed will help you manage your health effectively. If you have any further questions or need more guidance, feel free to ask.
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