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MRI Done, Stroke Suspected. History Of Leukemia, Non-hodgkin's Lymphoma. What Does The Report Indicate?
Hi,
My 82-year-old mother's doctor said the MRI he received had too many technical terms for him to interpret and would need to get in touch with her neurologist. He made us a copy to research it ourselves. The visiting neurologist first thought by the CT scan that she either had a major stroke (which was not detected in all our visits to the hospital) or has PML (she has chronic leukemia and had non-Hodgkins' lymphoma 10 years ago). Here is what is written in the Impression:
Area of chronic infarction / encephalomalacia in the vascular territory of the left MCA involving the frontal, parietal and the lateral left temporal lobe. Diffuse cerebral atrophy with a combination of small vessel microangiopathic changes and lacunar infarcts in the periventricular white matter. There are lacunar infarcts in the left periventricular white matter, basal ganglia and the superior aspect of the cerebellar hemispheres bilaterally. Ischemic changes noted in the pons. No intracranial mass lesion. No abnormal parenchymal or meningeal enhancement.
Can you help? Thank you
My 82-year-old mother's doctor said the MRI he received had too many technical terms for him to interpret and would need to get in touch with her neurologist. He made us a copy to research it ourselves. The visiting neurologist first thought by the CT scan that she either had a major stroke (which was not detected in all our visits to the hospital) or has PML (she has chronic leukemia and had non-Hodgkins' lymphoma 10 years ago). Here is what is written in the Impression:
Area of chronic infarction / encephalomalacia in the vascular territory of the left MCA involving the frontal, parietal and the lateral left temporal lobe. Diffuse cerebral atrophy with a combination of small vessel microangiopathic changes and lacunar infarcts in the periventricular white matter. There are lacunar infarcts in the left periventricular white matter, basal ganglia and the superior aspect of the cerebellar hemispheres bilaterally. Ischemic changes noted in the pons. No intracranial mass lesion. No abnormal parenchymal or meningeal enhancement.
Can you help? Thank you
Mon, 10 Jun 2013
Hello,
Interpretation of MRI scan in detail is as under:
1. Area of chronic infarction / encephalomalacia in the vascular territory of the left MCA involving the frontal, parietal and the lateral left temporal lobe: Means the area in the brain supplied by left middle cerebral artery (left frontal, parietal and lateral temporal lobes) show old changes of old stroke in the region perhaps.
2. Diffuse cerebral atrophy with a combination of small vessel microangiopathic changes and lacunar infarcts in the periventricular white matter: This is age related changes expected in a 89 years old woman.
3. There are lacunar infarcts in the left periventricular white matter, basal ganglia and the superior aspect of the cerebellar hemispheres bilaterally: These are also age related changes found in many people at that age.
4. Ischemic changes noted in the pons: This is by far the most important finding in this report. It means there is reduced blood supply to pons, a very important part of the brain.
Hope this helps.
Interpretation of MRI scan in detail is as under:
1. Area of chronic infarction / encephalomalacia in the vascular territory of the left MCA involving the frontal, parietal and the lateral left temporal lobe: Means the area in the brain supplied by left middle cerebral artery (left frontal, parietal and lateral temporal lobes) show old changes of old stroke in the region perhaps.
2. Diffuse cerebral atrophy with a combination of small vessel microangiopathic changes and lacunar infarcts in the periventricular white matter: This is age related changes expected in a 89 years old woman.
3. There are lacunar infarcts in the left periventricular white matter, basal ganglia and the superior aspect of the cerebellar hemispheres bilaterally: These are also age related changes found in many people at that age.
4. Ischemic changes noted in the pons: This is by far the most important finding in this report. It means there is reduced blood supply to pons, a very important part of the brain.
Hope this helps.
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