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What Does My MRI Scan Report Indicate?
Question: I am a 64 yo male 6'4' 323 lbs. For the last 2 months I have had occasional balance issues. These occur after I sit for a extended period of time at work mostly. I have found the issue occurs after sitting and leaning forward working on the PC. When I stand my Face reddens, ears feel full, I develop a headache and my legs become heavy. This will last for a few minutes or until I sit. My B/P elevates 150/100 standing and pulse stays around 60. Sitting B/P 130/ 80 P 60. MRI results have not changed in 5 years (which shows diffuse white matter disease). This does not occur when lying or sitting in a reclined position. I'm a RN so I'm starting to think it is Cardiac or Vascular. My ejection fracture is 38 . What is your thoughts
Brief Answer:
My answer as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that your symptoms are not related to any cardiac disorder.
The headache and ear fullness, while bending forwards is typical of a sinus infection or congestion. For this reason, I would recommend performing a sinus discharge bacterial culture. If a bacterial or fungal infection is excluded, I would recommend taking an antiallergic agent, because an allergic reaction can cause thickened sinuses from nasal congestion. The nasal decongestionant would also help.
A vascular problem in the brain can not be excluded either, as your MRI shows diffuse white matter disease, which is an indicator of small vessel disease.
I would recommend taking daily Aspirin for this reason.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Wishing all the best,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that your symptoms are not related to any cardiac disorder.
The headache and ear fullness, while bending forwards is typical of a sinus infection or congestion. For this reason, I would recommend performing a sinus discharge bacterial culture. If a bacterial or fungal infection is excluded, I would recommend taking an antiallergic agent, because an allergic reaction can cause thickened sinuses from nasal congestion. The nasal decongestionant would also help.
A vascular problem in the brain can not be excluded either, as your MRI shows diffuse white matter disease, which is an indicator of small vessel disease.
I would recommend taking daily Aspirin for this reason.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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