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IMPRESSION: 1. No Acute-subacute Infarction, Intracranial Hemorrhage Or Mass Effect.

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Posted on Fri, 4 Dec 2020
Question: IMPRESSION:

1. No acute-subacute infarction, intracranial hemorrhage or mass effect.

2. Moderate cerebral greater than more mild cerebellar atrophy.

3. Stable focus of gradient susceptibility in the right occipital lobe,
consistent with hemosiderin deposition from remote hematoma. Stable focus
of gradient susceptibility in the right cerebellum, may represent
hemosiderin deposition from remote microhemorrhage (either chronic
ischemic or hypertensive mediated).
doctor
Answered by Dr. Dr. Erion Spaho (7 hours later)
Brief Answer:
Changes likely due to uncontrolled high blood pressure.

Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.

I have read the imaging study report that you provided.

These findings show that there is mild loss of the cerebral mass (or atrophy).

There was also intracerebral hematoma in the past at the cerebellum and occipital lobe.

These findings are seen mostly in cases of ill-controlled high blood pressure, diabetes, etc.

So, it is necessary to control correctly any possible underlying condition to stop the progression of these changes.

Discuss with your Neurologist these issues, or provide more information about your symptoms, medical history, in order for me to understand better your condition.

Hope this helps.

Feel free to ask if you have further questions.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (5 hours later)
on strong chemo for leukemia 79 years old has thyroid issue-diagnosed with depression and ptsd some want to say dementia due to cognitive issues which is why the MRI
strong medication SSRI for depression and cancer meds give mind fog thyroid problem no help with clarity either
great deal of emotional and physical trauma long standing cause of ptsd diagnosis
stroke was in 2015
no diabetes blood work looked good trying to explain cognitive issues there are strong trust issues due to abuse any thing here to indicate mental illness or the such important going into a conference and need to understand what the doctors see here
doctor
Answered by Dr. Dr. Erion Spaho (3 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

If there are cognitive problems, dementia ( in such a case vascular dementia) is a possible condition.

This possibility is supported by the MRI findings of mild atrophy and areas of damaged brain tissue.

The atrophy may have been caused mainly by the chemotherapy, while other problems found i the MRI are most likely of uncontrolled high blood pressure.

Discuss with the Neurologist for an appropriate management and treatment of the cognitive issues.

Hope this helps.

Take care.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4501 Questions

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IMPRESSION: 1. No Acute-subacute Infarction, Intracranial Hemorrhage Or Mass Effect.

Brief Answer: Changes likely due to uncontrolled high blood pressure. Detailed Answer: Hello and welcome to the "Ask a Doctor" service. I have read the imaging study report that you provided. These findings show that there is mild loss of the cerebral mass (or atrophy). There was also intracerebral hematoma in the past at the cerebellum and occipital lobe. These findings are seen mostly in cases of ill-controlled high blood pressure, diabetes, etc. So, it is necessary to control correctly any possible underlying condition to stop the progression of these changes. Discuss with your Neurologist these issues, or provide more information about your symptoms, medical history, in order for me to understand better your condition. Hope this helps. Feel free to ask if you have further questions.