Mri report-multiple old ischemic areas in the periventricular white matter bilaterally-cerebral and cerebellar atrophy. a- 72 yrs, w66kg serious? sugge

Ischemic changes: Mri scans are sensitive for picking up signs of ischemia or old stroke. Sometimes, the patients may not have any symptoms. Sometimes the symptoms are subtle and the patients recover. The risks factors for these findings include high blood pressure, smoking, diabetes, alcohol use. The best treatment is to get these risk factors under control. Work with your doctor on this.

Atrophy is to be expected with aging, but key is whether this is more than expectation. The "ischemic areas" could be due to microvascular angiopathy, another expected finding, but could also be excessive if hypertension is present. Discuss these details with your doctor, and discern whether the interpretation is consistent with age or correlates with new symptoms.