Doctor insights on:
Basal Ganglia Intraparenchymal Hemorrhage
My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?
Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more
This is the term for several areas of the brain that work together as a functional unit: the striatum (caudate and putamen), the globus pallidus, the substantia nigra, and the subthalamic nucleus. The most well known function of the basal ganglia is voluntary motor control, but it is also involved in development of routine behaviors; eye movements; and ...Read more
Result for my brain MRI -asymmetric decreased attenuation in the left basal ganglia, variant dilated perivascular spaces or punctate chronic lacune. ?
MRI report: This is language used in radiology to describe what they see. Ordinarily, they cannot distinguish a small stroke (lacune) from a perivascular space. A "puntate lacune" though is very small. It is probably just the side view of a blood vessel (aka perivascular). Do you smoke? Do you have high blood pressure? Do you have diabetes mellitus? Atrial fibrillation? These are stroke risk factors. ...Read moreSee 1 more doctor answer
S+s of end stage primary brain cancer, (aa iii) r medial temporal lobe, diffuse numerous cells. Growing!/brainstem and posterior temp./basal ganglia?
Ask for more info: Signs and symptoms can vary greatly with any 'end-stage' cancer. Things like if it has spread to other organs, impacting functional status and alertness (sleeping more, in bed most of the time), causing pain/seizures, and so on. His doctors can maybe determine what is most likely. If not involved already ask for hospice or palliative care help as they could also help answer what the s/s might be. ...Read moreSee 1 more doctor answer
7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?
Difficult to tell: without actually looking at the scan. Virchow Robin spaces are found normally and accompany blood vessels as they penetrate the brain. They contain cerebrospinal fluid and if they expand they can look quite pathological however it would be difficult to tell for sure without looking at the scan and knowing more. Would be happy to provide a virtual consult if needed. Best of luck! ...Read more
Hard to say: If the interpretation on the MRI by the radiologist is that it is a cyst, then it is likely benign. It also depends if there is any area of enhancement that would suggest a tumor. Also if you have serial MRI scans, you can tell if it is getting bigger or changing which is more likely a tumor. The location in the ventricle is important too. If it obstructs the foramen it could be a problem. ...Read moreSee 1 more doctor answer
38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?
Nothing to cure: But try to prevent further damage. Maxillary sinus polyp is nothing to worry about unless sinus symptoms, then ENT consult. Partial empty sella cannot be fixed, and nothing to worry about unless abnormal pituitary function - may need to see an endocrinologist. Ischemic lesions may be within normal limits (allowed 1 per decade of life), but need to understand cause(s) and try to prevent more. ...Read more
Typo: This is probably a secretarial error for "calcified granuloma with focal caseation". ...Read more
F,48. Pls detail(1)"nonspec hyperintense FLAIR foci involving L.parietal+bilateral.frontal.lobes" +(2)"signal void along main intracranial vasculature?
Radiology terms: This is specialized radiology terminology and isn't helpful by itself. The radiologist should provide a conclusion at end of report as to what it all means. This must then be interpreted in context of what symptoms led to study in first place. Too much for any of us to answer in this format. Talk to the doctor who ordered the study. Good luck. ...Read more
Took brain mri.multiple t2hypointense lesion in cerebral parenchyma.possibilty of granuloma or brain secondries..my mom hv lung cancer.is it secondary?
Probably neither: Difficult to know without seeing all the MRI sequences. It would be helpful to know if the lesions enhance after Gadolinium contrast and if they "bloom" on susceptibility weighted sequences and if they are calcified or invisible on CT scan. Metastatic disease would be very unlikely in a 30 year old without a known primary cancer. My best guess would be multiple cavernous malformations. ...Read more
Pet/ct scan of brain shown bilateral temporal(more severe on left side)parietal, thalami & basal ganglia hypo metabolism.What does it mean, pl advice.
MaybeNothing: Pet/ct can show a region of hypometabolism, yes. But you describe many areas, including bilateral areas. That is much harder to accurately define on these kinds of tests, and results should be viewed with caution. Also, remember that the metabolism images should fit with what is wrong with the patient. ...Read moreSee 1 more doctor answer
No: Basal ganglia calcification is more commonly seen in elderly. Blood-pressure medications are not typically associated with this finding. http://radiopaedia.org/articles/basal_ganglia_calcification. ...Read more
Mri found bilaterally along the inferior lateral aspect of the basal ganglion, either old lacunar infarctions or bilateral benign cysts. Thoughts?
Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. Is this serious?
NONSPECIFIC : Although the films were read as suggesting ischemia, location might also suggest prior head trauma, congenital lesions of no consequence, genetic or hereditary issues, even underlying inflammatory condition. This is only "serious", if clinically you are having stroke symptoms or you possess uncontrolled blood pressure or elevation of blood lipids. Likely quite non-diagnostic. ...Read moreSee 1 more doctor answer
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more
MRI showed moderate supratenatorial white matter disease suspicious of demyelinating process. Multiple nodular foci periventricular Could you explain?
Concern for MS, But: Phyllis, talk to the doctor who ordered the MRI, since he/she can interpret the MRI in the context of the symptoms that brought you to the clinic. In some cases, periventricular white matter lesions are the result of migraines, old head trauma, neuron migration issues, or MS. It is hard to know from just a description of the MRI which is the cause. Good Luck and Stay Healthy! ...Read moreSee 1 more doctor answer
Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes.does thismean allergic vasculitis?
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?
May or may not be: It takes time and follow up CT scans to see if these tumors are growing in size. if they are not tumors(cancer) it will remain unchanged in size over a period of 3-6 months. A biopsy may be required to confirm it in case these lesions are increasing in size(growing bigger). They are too small to do a biopsy now, need to be at least 1Cm or bigger. ...Read more
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