Aug 27, 2012 - 5:15 pm
I apologize for posting this here because it is not related to kidney cancer, but until I talk to my doctor, I don't know what forum to go to. I promise I won't keep posting here on this topic. I'm hoping the scan man can help with one comment on an MRI. When I mentioned some "weird" events to my Oncologist, he ordered a brain MRI to rule out the met possibility. I had been concerned about the TIA possibility, but he said TIA's won't show on an MRI or CT scan. I have an appointment with him Thursday. The good news is there is no sign of a tumor, but there are a couple of comments that concern me.
"Deep white matter shows some scattered subcentimeter foci of increased T2 and FLAIR signal intensity within the coronary and centrum semiovale."
"Impression: Small size number foci of the deep white matter hyperintensity suggesting some microvascular ischemic disease."
Question: I succeeded in googling "centrum semiovale". I'm not sure whether I'm reading the "coronary" part correctly. A non-medical person could read that statement one of two ways. Either it is saying "within the coronary(as a noun) and also the centrum semiovale" or it is saying "within the coronary(adjective) semiovale and centrum semiovale". I understand "coronary" in the context of coronary artery disease, but not as a stand-alone term, but I also don't find references to "coronary semiovale".
I'm not asking you for a diagnosis, just help interpreting the terminology correctly. It is probably intuitively obvious to everyone else, but not to me so excuse my ignorance. I really, really appreciate any help.