HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does My MRI Scan Report Indicate?

Posted on Mon, 15 Feb 2016

Question: Dear Doctor,

What do you see in the attached photos of the brain mri i have done today.

There are no symptoms at all.

Answered by Dr. Ajay Panwar (39 minutes later)

Brief Answer:
Sulci appear to be widened.Please upload whole MRI CD.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have gone through the MRI images you have uploaded.Except for some widened sulci and and a couple of small hyperintense changes(which are of doubtful significance)in one of the sections,there appear to be nothing specific in these.

I would rather suggest you to please upload the whole MRI CD on google drive and share the drive link here in the follow-up question,so that I can view your complete MRI with my dicom viewer,and form an opinion.

I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (1 hour later)

I will download the whole cd tomorrow evening .. Jusf wanted to ask you if widened sulci can be sometimes normal variant? .. Thanks doc

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
Need to see the complete MRI to comment on this.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being in follow-up.

Sure.I'll be waiting for your MRI CD. Widened sulci can be normal in elderly population,and sometimes in middle aged. However,the section images you have posted are not sufficient enough to definitely say,whether widened sulci actually exists or not.I need to see more sections for that.

I shall be glad to have you in follow-up with the whole MRI study.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (10 hours later)

I have the whole mri images downloaded on google drive ..
Username ; YYYY@YYYY
Password: Wsedplok3512

Answered by Dr. Ajay Panwar (6 minutes later)

Brief Answer:
Some error.Images are not showing.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being in follow-up.

Your drive shows only 649 KB of space is filled by drive and rest 4 GB by gmail.No MRI images are visible.Obviously,images can't hold just 649 KB. Kindly reupload. Please take a suggestion to zip all the images as you upload.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ajay Panwar (34 minutes later)

Please use google drive i have attached a snap shot it has 5 Gb filled with the mri pics under folder called HDMC
Www.google.com/drive

Same username and password given above ..

Thank you !

Answered by Dr. Ajay Panwar (17 hours later)

Brief Answer:
Sulcal widening is present.Need to follow-up.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being in follow-up.

I have gone through your detailed MRI study.

Sulcal widening is present,for sure in parietal and frontal lobes.But,as you have no symptoms-I do not want to attach any significance to it as yet.

Even, repeat MRI will also show this finding as this sulcal widening will not reverse with time.

My sincere advice for you is-'Please do not worry about this MRI finding and carry on with a healthy life style.Don't go for any addictions-alcohol or anything else.Follow up with your neurologist if you develop any symptoms related to brain disease'.

Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (17 minutes later)

Dear Doc

I follow a very healthy lifestyle. I was informed that sulcal widening can be a normal variant in some or few cases. ( i have had it in previois mri i will check previous mri for progression)
Do you concur to the radiologist finding that i had a stroke (luncnar infarction) . Please advise !

Thanking you

Answered by Dr. Ajay Panwar (35 minutes later)

Brief Answer:
Not sure about stroke.Caudate hyperintensity is present.Old lesion.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being in follow-up.

For sure,there is right caudate hyperintensity having CSF intensity.It has no diffusion restriction.So,it is an old lesion and not a new stroke.Possibly an old ischemic lesion.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ajay Panwar (16 minutes later)

What is the prognosis and outcome of this ? Will it effect life expectancy ? Will i suffer from this in future?

Answered by Dr. Ajay Panwar (3 hours later)

Brief Answer:
Prognosis appears to be good.

Detailed Answer:
Hi XXXXXXX velograde,
Thanks for being in follow-up.

So far,there is no definite disease process.So,its not a point to talk of prognosis, and life expectancy. You should continue living a healthy life.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar