Brain MRI without contrast shows few nonspecific punctate foci, recommended CSF. Second opinion required ?
Patient: Brain MRI without contrast came back w few nonspecific punctate foci of T2 prolongation and left temporal encephalomalacia along the lateral cortex. Radiologist recommended CSF . Saw Neuro for the 1st time and he walked in and within 2 minutes stated that he didn t think i needed the CSF. Ordered EEG thinking i may be having mini seizures- tech stated that it appears normal. Have not seen Neuro yet. Tech closed the door before EEG and said off the records, i think you should get a second opinion ?? She stated that i should see Neuro that specializes in MS ?? Doctor: Hello  Thanks for the query,  First of all i would like to tell you that the interpretation of MRI should be done only in a given clinical context., has to be correlated with the clinical data. In the absence of clinical problem of a patient it is difficult to say if you need CSF or not.  I am sorry that i don't know your age and if you have high BP, diabetes and cholesterol problem.   You need not see a consultant who specializes MS but you need c,clinical evaluation by a neurologist. If you are not happy, better go for a second opinion. The clinical interview will clarify so many things and we will be able to guide you better. Best wishes