Leah is devastated when she finds out Ali has a small optic nerve and needs to be sedated again for an MRI of her brain. After getting kicked out of her mom's Jenelle is living in her car with Keiffer but things get intense when they get into a blow out fight about him drinking. Chelsea decides to give Adam another chance, re-tears her ACL and finds out she will have to have surgery. After finding a nasty note from her mom's boyfriend, Kailyn wants to move out but needs to find a way to afford living on her own.