Mri findings: prominent perivascular spaces and few nonspecific white matter changes in both parietal lobes. no abnormal brain or meningeal post gadolinium enhancement. is there a concern on the findings?

When evaluating for small vascular disease of the brain, MRI finding of prominent perivascular spaces may be associated with previous history of small ischemic infarct (lacunar stroke).

NOT knowing your clinical characteristics, the MRI at face value would be nonspecific and nondiagnostic. These findings might be seen associated with smoking, migraine, or prior head injury. Discuss with your doctor, whether these films can assist in your health management.