9 doctors weighed in:

Do small white spots on MRI of brain indicate multiple sclerosis?

9 doctors weighed in
Dr. Eric Farbman
Neurology
4 doctors agree

In brief: It depends

Like many things in medicine, it depends.
Some of it depends on the patient's symptoms, age. Many people have "white spots" on mris; there can be non-specific small vessel white matter disease seen on the MRI of many individuals with a western diet. White spots on an MRI also can mean ms, but it is usually in a certain pattern that is more specific for ms. Discuss your MRI with your neurologist.

In brief: It depends

Like many things in medicine, it depends.
Some of it depends on the patient's symptoms, age. Many people have "white spots" on mris; there can be non-specific small vessel white matter disease seen on the MRI of many individuals with a western diet. White spots on an MRI also can mean ms, but it is usually in a certain pattern that is more specific for ms. Discuss your MRI with your neurologist.
Dr. Eric Farbman
Dr. Eric Farbman
Thank
1 comment
Dr. Steven Greenberg
Certain patterns of white matter signal abnormalities can be suggestive of MS. However, white matter foci are very common on MR. When just a few tiny ones, sometimes attributed to ubo's/unexplained bright objects. These mean nothing. Patients who get migraines can have white matter foci. There is whole litany of other causes. Imaging findings need to be placed in appropriate clinical context. Sometimes with MR there are things that are seen that are not completely normal, but by the same token really are not of significant. Sometimes there are things seen that may be significant. Talk to your doctor. He/she can offer guidance and can put imaging findings in appropriate context. That may help allay your concerns.
Dr. James Goodrich
Neurosurgery
1 doctor agrees

In brief: Multiple sclerosis

Multiple white spots on an MRI can be a sign of multiple sclerosis but additional clinical findings of ms would also be needed to made the diagnosis.

In brief: Multiple sclerosis

Multiple white spots on an MRI can be a sign of multiple sclerosis but additional clinical findings of ms would also be needed to made the diagnosis.
Dr. James Goodrich
Dr. James Goodrich
Thank

In brief: Not necessarily

Could be due to prior trauma, hypertension, smoking, aging, prior cocaine or amphetamine usage, aging or hardening of arteries, small strokes, etc, and not necessarily related to MS at all.

In brief: Not necessarily

Could be due to prior trauma, hypertension, smoking, aging, prior cocaine or amphetamine usage, aging or hardening of arteries, small strokes, etc, and not necessarily related to MS at all.
Dr. Bennett Machanic
Dr. Bennett Machanic
Thank
Get help from a real doctor now
Dr. Bennett Machanic
Board Certified, Neurology
49 years in practice
56M people helped
Continue
111,000 doctors available
Read more answers from doctors