Doctor insights on:
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
Typo: This is probably a secretarial error for "calcified granuloma with focal caseation". ...Read more
Ct head scan results are frontal lobe sulci bilateral prominent. Prominate subarachnold space. Midline lipoma. Anterior interhemispheric fissure promi?
Atrophy: The midline lipoma probably doesnt warrant any treatment. These are usually incidental findings, but they can be associated with some congenital brain disorders. You basically seem to have less brain in your skull relative to fluid spaces relative to others. Have your doctor review the scan with you. ...Read more
Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?
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
MRI scan shows two small focal flair hot spots in either frontal lobes subcortically. Mild peri ventricular gliosis. Age related mild diffuse atrophy.
Probably not...: ...significant. A few small lesions can be seen in many patients without an underlying problem. If there is any concern, then a repeat MR in 4-6 months can be performed. Without any interval change, then you should not worry. However, atrophy at your age is more worrisome and not common, and your Doctor should examine you closely for any underlying cause. ...Read moreSee 1 more doctor answer
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
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
Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes.does thismean allergic vasculitis?
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
Is this alarming
No acute focal lung infiltrate
Stable appearing tiny ovoid hyperdensity which may relate to calcified granuloma?
Stable is good. : Technically it would be good for me to know when the last xray was (the one to which they're comparing the current one). Bad things will pretty universally grow over time, so if this hypersensitive has not grown in months, or years, then it's very likely benign. ...Read more
Poor inspiration: Probably related to a poor inspiratory effort when the radiograph was taken. Often times if people are in pain or are obese they cannot take a big breath (which would expand the lungs and give a better look to the radiologist) so what we see are low lung volumes and small areas of collapsed lung - all told it is usually not a sign of anything. Sometimes atelectasis can cause a fever. ...Read more
Brain mri- moderate mucosal wall thickening involving bilateral maxillary and ethmoid sinuses & non specific demyelinating process. Possibly related?
45 yo f MRIs: .
2009:3 foci of white matter hyperintensity. Possible remote small vessel ischemia
2015:scattered areas of hyperintensity.
Hard to know: Radiologists are trained to report on images without knowing anything about a patient. This way, everything gets included; even findings that are normal for most people. For a person with family history of early onset dementia and cardiovascular disease, for example, these findings could be meaningful. You can consider a virtual c/s w/ neurologist to review the images and in context. ...Read more
Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.
If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more
Chest Xray states Mild coarsened basilar interstitium likely chronic, Calcified hilar lymphnodes ( I am asymptomatic)What could this be.?
There are a number: of causes, such as treated lymphoma, TB, histoplasmosis, sarcoid, silicosis, amyloid, and scleroderma. If you have lived in endemic areas like the Midwest or Southeast US, and/or have had large exposure to construction sites, birds, or caves, and are otherwise healthy, it is likely due to prior fungal infection with histoplasmosis. If so, nothing needs to be done at this point. Talk to your doc. ...Read more
Had MRI of brain. States diffuse pathologic t2 hypersignall noted bilaterally in frontal parietal regions. I'm scared....Dementia? ? Ms???
Discuss w/ provider: One of the most important parts of imaging is providing meaningful and clear explanations of results to the patient and their family. There is no need for you to suffer additional hrm from being scared. Don't wait - call for a followup visit ASAP. Meanwhile - stop trying to guess at the meaning. It takes doctors years to understand these results. You'll Best! ...Read moreSee 2 more doctor answers
Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be ms
Possible, but...: Fine to check for pfo, but real question involves potentials for stroke. You could have cadasil, which is a genetic disorder. A spinal tap could assist in diagnosis perhaps. Vasculitis, arteritis, even sjogren's might be considered. Description not necessarily ms, but part of considerations. ...Read more
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