Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This MRI Report Of Brain Indicate?
Question: Hi I wanted to send you this report on my mri. My doctor put down recurrent headache but I don't know why he did that because I have not had a migraine headache in at least 7 to 10 years. I use to get aura type headaches on occasion but not on a regular basis.
Findings on the report
There is no evidence of an intracranial hemorrhage , mass lesion, or acute infection.
There are tiny foci of high signal intensity on T2 weighted images in the deep white matter of the left parietal lobe as well as in the peri ventricular white matter of the right frontal lobe.
The ventricles and sulci are normal in caliber
The vessels of the anterior and posterior circulation demonstrate normal flow voids on T2 weighted images..
The parasail sinuses and mastoid air cells are clear.
Impressions - mild nonspecific white matter changes most in keeping with mild microangiopathic changes. A myelination process would be less likely but cannot be excluded. Similar white matter changes can be seen in patients with chronic migraines.
Having said all that from the report do you and I have not had a headache in years could this be put down to ms. My doctor is sending me to a neurologist soon I hope because getting to see a neurologist up in Canada takes soo much time and I am really worried.
Thanks
XXXXXXX
Findings on the report
There is no evidence of an intracranial hemorrhage , mass lesion, or acute infection.
There are tiny foci of high signal intensity on T2 weighted images in the deep white matter of the left parietal lobe as well as in the peri ventricular white matter of the right frontal lobe.
The ventricles and sulci are normal in caliber
The vessels of the anterior and posterior circulation demonstrate normal flow voids on T2 weighted images..
The parasail sinuses and mastoid air cells are clear.
Impressions - mild nonspecific white matter changes most in keeping with mild microangiopathic changes. A myelination process would be less likely but cannot be excluded. Similar white matter changes can be seen in patients with chronic migraines.
Having said all that from the report do you and I have not had a headache in years could this be put down to ms. My doctor is sending me to a neurologist soon I hope because getting to see a neurologist up in Canada takes soo much time and I am really worried.
Thanks
XXXXXXX
Brief Answer:
Is headache your only complaint?
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through your detailed MRI report.The white matter small vessel changes in MRI at your age may have the following common reasons-
1)Age related white matter changes(ARWMA)-These are usually normal and patients do not have much symptoms.
2)High blood pressure-Are you a hypertensive?
3)Diabetes and chronic smoking
Apart from these common causes,other pathologies can be-
Vasculitis
Chronic migraine
At this point,it is important to know about your symptoms.
If headache is the only symptom-then of course!Chronic migraine may have contributed to these changes and don't panic about them.
If you have a history of high blood pressure-it may be a definite cause and needs good blood pressure control.
Bottom line is-These MRI changes have to be viewed in light of neurological symptoms.If no neurological symptoms are there,these have a limited significance.
If you have some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Is headache your only complaint?
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through your detailed MRI report.The white matter small vessel changes in MRI at your age may have the following common reasons-
1)Age related white matter changes(ARWMA)-These are usually normal and patients do not have much symptoms.
2)High blood pressure-Are you a hypertensive?
3)Diabetes and chronic smoking
Apart from these common causes,other pathologies can be-
Vasculitis
Chronic migraine
At this point,it is important to know about your symptoms.
If headache is the only symptom-then of course!Chronic migraine may have contributed to these changes and don't panic about them.
If you have a history of high blood pressure-it may be a definite cause and needs good blood pressure control.
Bottom line is-These MRI changes have to be viewed in light of neurological symptoms.If no neurological symptoms are there,these have a limited significance.
If you have some further questions,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
I have not had a headache in a long long time I have hypertension but it goes up and down sometime 115/75 sometime 135/95 but I do take blood pressure meds.
triglycerides are a little high and also vb12 and uric acid levels.
I do not smoke and no diabetes.
I was a heavy drinker 1.5 liters a day for a few years of white wine but have stopped that for the last 3 months now and will never have another drink again.
I just turned 59
I have a few pictures of my scans if that helps I can try sending, but do you think this has anything to do with ms
Sorry to keep bugging you but I am scared so I went to the hospital today where they did the mri and got the scan and report.
Thanks,
XXXXXXX
triglycerides are a little high and also vb12 and uric acid levels.
I do not smoke and no diabetes.
I was a heavy drinker 1.5 liters a day for a few years of white wine but have stopped that for the last 3 months now and will never have another drink again.
I just turned 59
I have a few pictures of my scans if that helps I can try sending, but do you think this has anything to do with ms
Sorry to keep bugging you but I am scared so I went to the hospital today where they did the mri and got the scan and report.
Thanks,
XXXXXXX
Brief Answer:
Upload the pictures.It must not be MS,though.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
MS is not at all,in the scene.History of headache does not make MS,the diagnosis.Every white matter change does not mean MS.
Its,in fact,better if you upload the pictures and let me have a view at it.That will help make a better opinion.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Upload the pictures.It must not be MS,though.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
MS is not at all,in the scene.History of headache does not make MS,the diagnosis.Every white matter change does not mean MS.
Its,in fact,better if you upload the pictures and let me have a view at it.That will help make a better opinion.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Here are some of the pictures
Please respond
Please respond
Brief Answer:
Can't comment just on basis of these images.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I have gone through the MRI images you have uploaded but I am not able to make any inference just on basis of these images because you have uploaded either the basal cuts or superficial ones.Hardly,one or two pictures show a definite cut to look something on,but those cuts do not show any white matter changes.
It will be better if you can upload the MRI CD as a rar archived file on Google drive and paste the google drive link here in the follow-up question.
I shall have a look at your MRI CD,which will give an exact picture.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Can't comment just on basis of these images.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I have gone through the MRI images you have uploaded but I am not able to make any inference just on basis of these images because you have uploaded either the basal cuts or superficial ones.Hardly,one or two pictures show a definite cut to look something on,but those cuts do not show any white matter changes.
It will be better if you can upload the MRI CD as a rar archived file on Google drive and paste the google drive link here in the follow-up question.
I shall have a look at your MRI CD,which will give an exact picture.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
XXXXX
Here is the link to my google drive as you requested, I hope you can open these files.
Thanks,
XXXXXXX
Here is the link to my google drive as you requested, I hope you can open these files.
Thanks,
XXXXXXX
Brief Answer:
Some error.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Probably there is some error uploading.The webpage says-
'The folder that you were viewing no longer exists or you no longer have permission to access it. You have been moved to My Drive'.
Please fix it.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Some error.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Probably there is some error uploading.The webpage says-
'The folder that you were viewing no longer exists or you no longer have permission to access it. You have been moved to My Drive'.
Please fix it.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Try it now this is my first time doing this.
Thanks,
XXXXXXX
If it does not work maybe you can give me some points of what I am doing wrong
Thanks,
XXXXXXX
If it does not work maybe you can give me some points of what I am doing wrong
Brief Answer:
Still the same problem.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
No luck this time too..Still the same problem over here.
Fine you can do one thing.Take good quality pictures of cerebral sections like the one (MRI-5.jpg) you have uploaded.Try to take pictures from all MRI films you have got.Other images you have uploaded (MRI-1.jpg,MRI-3.jpg,MRI-2.jpg,MRI-4.jpg)are either too superficial or basal cuts.
I hope you can do it easily.Still any confusion,please don't hesitate to ask.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Still the same problem.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
No luck this time too..Still the same problem over here.
Fine you can do one thing.Take good quality pictures of cerebral sections like the one (MRI-5.jpg) you have uploaded.Try to take pictures from all MRI films you have got.Other images you have uploaded (MRI-1.jpg,MRI-3.jpg,MRI-2.jpg,MRI-4.jpg)are either too superficial or basal cuts.
I hope you can do it easily.Still any confusion,please don't hesitate to ask.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr Panwar
I was able to format the series of images into pdf files and will forward them to your attention by email at HealthcareMagic.
Hope you are able to view them. Let me know.
Thanks,
XXXXXXX
I was able to format the series of images into pdf files and will forward them to your attention by email at HealthcareMagic.
Hope you are able to view them. Let me know.
Thanks,
XXXXXXX
Brief Answer:
Of course.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Surely.I am keen to look out at them. Please send the attachments to ' YYYY@YYYY ' with Subject as 'Attention: Dr Ajay Panwar'. It will be delivered to my email address.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Of course.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Surely.I am keen to look out at them. Please send the attachments to ' YYYY@YYYY ' with Subject as 'Attention: Dr Ajay Panwar'. It will be delivered to my email address.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Anwar -
Here are the 10 files of pdf images. Hope you can read them in this format. Let me know.
Here are the 10 files of pdf images. Hope you can read them in this format. Let me know.
Brief Answer:
It is not MS.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I got well your files and had a close look at them.
Indeed,we have small ischemic white matter changes,which are predominantly periventricular.Some of these changes in left parietal deep white matter also.
These are very common in Hypertensive patients.Chronic migraine can also result in such changes.Keeping your clinical scenario,MS is not in question,beyond doubt.So,don't get so worried.
Another finding is - brain atrophy which is diffuse but more dominant posteriorly and in cerebellum.As you have corresponding clinical features,I presume it to be 'age related brain atrophy' which is physiological and normal.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
It is not MS.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I got well your files and had a close look at them.
Indeed,we have small ischemic white matter changes,which are predominantly periventricular.Some of these changes in left parietal deep white matter also.
These are very common in Hypertensive patients.Chronic migraine can also result in such changes.Keeping your clinical scenario,MS is not in question,beyond doubt.So,don't get so worried.
Another finding is - brain atrophy which is diffuse but more dominant posteriorly and in cerebellum.As you have corresponding clinical features,I presume it to be 'age related brain atrophy' which is physiological and normal.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks so much for all you time a effort in looking at these problems I wish I could meet you sometime and thank you for looking into this.
One final question could these ischemic changes put me in greater risk for stroke or heart attack and dementia. I have been feeling quite depressed lately could this be attributed atrophy or concussions and or heavy drinking of white wine in the past.
.
Once again thanks for all your work,
XXXXXXX
One final question could these ischemic changes put me in greater risk for stroke or heart attack and dementia. I have been feeling quite depressed lately could this be attributed atrophy or concussions and or heavy drinking of white wine in the past.
.
Once again thanks for all your work,
XXXXXXX
Brief Answer:
Not likely.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Things are to be seen in clinical sense.These white matter changes don't appear to put you in a dangerous situation(like stroke or heart related problems).Nor, they appear to be a major risk for dementia.
Stop being depressed.You have got enough reasons for them(Hypertension and chronic migraine).So,try to control these factors and stop finding new reasons like concussions or depression.White wine does not have much of correlation with these changes.
If you have any queries in future,please get back to me.For now,if there are no further questions,please close the thread,rate it and write a review else I shall be glad to have you open for further queries.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Not likely.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Things are to be seen in clinical sense.These white matter changes don't appear to put you in a dangerous situation(like stroke or heart related problems).Nor, they appear to be a major risk for dementia.
Stop being depressed.You have got enough reasons for them(Hypertension and chronic migraine).So,try to control these factors and stop finding new reasons like concussions or depression.White wine does not have much of correlation with these changes.
If you have any queries in future,please get back to me.For now,if there are no further questions,please close the thread,rate it and write a review else I shall be glad to have you open for further queries.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
