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A member asked:
What does this mean and if it is risky? t2w / flair hyperintensities noted in bilateral centrum semiovale and periventricular white matter, not showing diffusion restriction likely suggestive of small vessel ischemic changes?
A doctor has provided 1 answer
This is a not-infrequent question here at HT. You describe a nonspecific and nondiagnostic MRI interpretation that can be caused by aging (microvascular angiopathy), smoking, migraine, prior head injuries, recreational drugs, etc. The images need clinical correlation with your symptoms. Discuss the findings with your physicians to plan the next course of action.
Answered 4/3/2023
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I am 82 and recently had a cat-scan. It showed cortical atrophy with patchy periventricular and deep white matter small vessel ischemic change. Can you explain?
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I am diabetic and have high BP for past 1 yr. my MRI report states "T2W / FLAIR hyperintensities noted in bilateral centrum semiovale and periventricular white matter, not showing diffusion restriction likely suggestive of small vessel ischemic chang?
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