A member asked:

Can prominent perivascular spaces in a 30 yo male be a normal variation with no adverse prognosis or are they indicative of some sort of pathology?

2 doctors weighed in across 2 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

The meaning of this finding will depend on the medical history and the reason why the brain imaging was done. By UPTODATE: "Perivascular spaces – Although not typically reported in routine radiologic practice, perivascular spaces become more visible in patients with cerebral small vessel diseases" - More visible means prominent.

Answered 1/6/2022

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These findings must be clinically correlated, as at your age, it would be unusual to have microvascular angiopathy of significance. The findings could be associated with dehydration or biological variation. Discuss with the ordering doctor.

Answered 1/6/2022

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