U.S. doctors online nowAsk doctors free
A 60-year-old female asked:

Meaning of my brain mri scan. minimal degree of punctate flair/t2 signal hyperintensity scattered throughout the periventricular & subcortical white matter, which is non specific but is most in keeping with chronic microvascular ischemic disease?

2 doctor answers2 doctors weighed in
Dr. Bennett Machanic
Neurology 54 years experience
This description is in the classification of leukoariosis, and indeed "nonspecific" but, at your age, microvascular angiopathy (hardening of arteries), history of smoking, hypertension, hyperlipidemia, or head injury would all be possible correlations.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Martin Tamler
Physical Medicine and Rehabilitation 35 years experience
While non-specific, they are essentially very tiny mini strokes. Modifying factors that cause stroke are the main treatment at this time. Ruling out atrial fibrillation is also useful. The ordering physician should give you further guidance. If not discuss treatment with your family doc or a neurologist.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jul 27, 2021
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $44!
50% off with $19/month membership


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.