Doctor insights on:
Cortical Vs Subcortical Stroke
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
MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?
Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
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
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
Loss of brain cells: This is a finding on either a CT scan or MRI of the brain. It is commonly seen in the elderly and can be a normal finding as we age. We tend to lose neurons or brain cells as we get older. This process can be increased with certain disease states such as dementia, infection, or poor nutrition. Typically this finding is coupled with cognitive impairment such as decreased memory or behavior problems ...Read more
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
Mom is 79 brain CT scan: moderate cerebral volume loss, mild widening of the cortical sulci, mild white matter microvasc. Ischemic disease serious?
Depends: Most likely these are aging changes that have occurred with time. ...Read more
Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. What does this mean?
Subcortical ischemia: This translates to changes in the smaller blood vessels that lead to loss of blood flow to the area and then scarring. Somewhat like a small silent stroke and frequently seen in people with migraines. The opinions about this have swayed from very worried, to common and mundane and more recently back to looking to stop the damage (help the blood flow, oxygen and glucose status optimize). ...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
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
Hard to say: Discuss this with the doctor that ordered the test. ...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
Mri of brain: please explain what does central and peripheral sub cortical t2/flair hyperintensities, observed in both hemispheres mean?
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