What Does This MRI Report Indicate?
Lesions which are hypointense on T1W and hyperintense on T2w & flair sequence is seen as inb/l parietal regions.
Need to check for hypertension,diabetes,lipid.
Detailed Answer:
Hello XXXXXX
I have thoroughly gone through your reports.
In MRI,FLAIR or T2 weighted tiny hyper intensities less than five in number in bilateral parietal region of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,post traumatic sequel should also be ruled out with follow up scans.Diabetes mellitus also aggravates the situation.
Hyper intensities more than five in number should be the cause of concern and it need investigations.
You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any more physical problems then it should be treated also.
You need follow up MRI scan to see its progression of lesions.Demyelinating disorders are associated with many other neurological findings.You need clinical correlation.
Brain shrinkage is due to aging and it is found in every human beings with age.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
XXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXXXXX
Your findings suggests lacunar infarcts(due to decreased blood supply in small blood vessels)in parietal region bilaterally.It is generally due to causes discussed earlier.
You need proper evaluation and treatment.
Senil atrophy of brain is age related finding.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX